Individual
ALLISON TANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
2348 COCHRAN RD, MCKINLEYVILLE, CA 95519-7950
(707) 496-3498
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/15/2019
Last updated
08/28/2019
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