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1114088184
TARA RENEE TANAKA
VACAVILLE, CA
NPI
1114088184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 21641)
Enumeration Date
2006-12-13
Last Update Date
2022-03-29
Business Address
TARA RENEE TANAKA Ph.D.
1600 CALIFORNIA DRIVE
VACAVILLE, CA 95696
Phone number: 707-430-1165
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Mailing Address
TARA RENEE TANAKA Ph.D.
PO BOX 2237
VACAVILLE, CA 95696-8237
Phone number: 707-430-1165
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