Individual
TATYANA DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
155 15TH ST STE A, WEST SACRAMENTO, CA 95691-3737
(916) 454-2345
(916) 457-2667
Mailing address
1860 HOWE AVE STE 440, SACRAMENTO, CA 95825-1098
(916) 569-8484
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19865
CA
Other
Enumeration date
10/13/2008
Last updated
10/23/2023
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