Individual
VALERY D TARASENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BUTCHER RD, VACAVILLE, CA 95687-5616
(707) 359-2255
(707) 359-2259
Mailing address
200 BUTCHER RD, VACAVILLE, CA 95687-5616
(707) 359-2255
(707) 359-2259
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A72444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A724440
—
CA
Enumeration date
12/05/2005
Last updated
10/18/2024
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