Individual
MRS. TANYA RENEE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4TH & INNER LOOP, FT IRWIN, CA 92310
(760) 380-5388
Mailing address
8318A SHILOH ST, FORT IRWIN, CA 92310-2421
(760) 386-8122
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
687317
CA
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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