Individual
TAMARA STOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
12140 NEW YORK RANCH RD, JACKSON, CA 95642-9407
(209) 257-2400
(209) 257-2403
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6270
(209) 754-6276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
803912
CA
163WD0400X
Diabetes Educator Registered Nurse
Primary
803912
CA
Other
Enumeration date
10/26/2012
Last updated
02/04/2020
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