Individual
SHAUNA TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3281 SOLANO AVE, NAPA, CA 94558-3202
(707) 251-9432
Mailing address
106 ELODIA CIR, NAPA, CA 94558-6907
(707) 307-8084
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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