Individual
COLLEEN E TAHBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58967 BUSINESS CENTER DR, C & D, YUCCA VALLEY, CA 92284-7308
(760) 369-3130
Mailing address
55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
07/01/2010
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