Individual
ANNA TARNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N CORONADO AVE, ESPANOLA, NM 87532-2700
(505) 629-1813
(505) 753-6947
Mailing address
102 N CORONADO AVE, ESPANOLA, NM 87532-2700
(505) 629-1813
(505) 753-6947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-0181321
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35588519
—
NM
Enumeration date
05/24/2016
Last updated
05/24/2016
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