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Individual

BIANCA TAYNE PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N/A

Contact information

Practice address
408 TENNESSE ST, VALLEJO, CA 94591
(707) 554-2397
Mailing address
2218 SILVERFOX CIRCLE, FAIRFIELD, CA 94534
(510) 938-1968

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/19/2013
Last updated
09/19/2013
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