Individual
BYANKA GISSELLE TABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
436 DEL SUR ST RM 21, VALLEJO, CA 94591-8226
(707) 474-2179
Mailing address
999 MARSHALL RD APT 123, VACAVILLE, CA 95687-5768
(707) 474-2179
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
101Y00000X
Counselor
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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