Individual
MRS. TANAIAH CHANEE CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4225 W GLENDALE AVE STE A200, PHOENIX, AZ 85051-8134
(219) 798-3693
Mailing address
4225 W GLENDALE AVE STE A200, PHOENIX, AZ 85051-8134
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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