Individual
TANIA MARIA BARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-7411
Mailing address
1625 RICHLAND AVE APT 10, CERES, CA 95307-4513
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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