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1013279132
TARA LYNN FAVIS
SACRAMENTO, CA
NPI
1013279132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95013467)
Enumeration Date
2012-06-14
Last Update Date
2024-09-24
Business Address
Ms. TARA LYNN FAVIS NP-C
77 CADILLAC DR STE 200
SACRAMENTO, CA 95825-8337
Phone number: 916-454-2345
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Mailing Address
Ms. TARA LYNN FAVIS NP-C
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484
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