Individual
TANIA MARY NANEVICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 TROUSDALE DR, 2ND FLOOR, BURLINGAME, CA 94010-4506
(650) 653-8600
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G77614
CA
Other
Enumeration date
03/28/2006
Last updated
06/19/2020
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