Individual
CHRISTINE LOUISE TANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 OAK PARK BLVD STE 101, PISMO BEACH, CA 93449-3409
(805) 481-2205
(805) 481-2206
Mailing address
901 OAK PARK BLVD STE 101, PISMO BEACH, CA 93449-3409
(805) 481-2205
(805) 481-2206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95027517
CA
Other
Enumeration date
11/23/2023
Last updated
03/20/2024
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