Individual
MR. JASON TANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4700 ELVAS AVE, SACRAMENTO, CA 95819-2250
(916) 755-0570
Mailing address
4700 ELVAS AVE, SACRAMENTO, CA 95819-2250
(916) 455-0570
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
13020
CA
Other
Enumeration date
05/14/2015
Last updated
02/11/2022
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