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Individual

MRS. TATYANA TANYA ROMANISHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1420 E ROSEVILLE PKWY STE 140-130, ROSEVILLE, CA 95661-3078
(916) 765-4208
(916) 677-2262
Mailing address
3594 OLD COUNTRY CT, ROSEVILLE, CA 95661-5980
(916) 765-4208
(916) 677-2262

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/26/2014
Last updated
06/26/2014
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