Individual
JESSICA MARIE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 ALABAMA ST, VALLEJO, CA 94590-4446
(510) 613-0330
Mailing address
508 ALABAMA ST, VALLEJO, CA 94590-4446
(510) 613-0330
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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