Individual
MS. CYNTHIA TANNER KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 HOSPITAL DR STE 303, VALLEJO, CA 94589-2583
(707) 645-7210
Mailing address
100 HOSPITAL DR STE 303, VALLEJO, CA 94589-2583
(707) 645-7210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 364762
CA
Other
Enumeration date
10/28/2014
Last updated
05/04/2018
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