TANISHA ANNETTE ERVIN

STOCKTON, CA
NPI1285820472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-09-20
Last Update Date2007-09-20
Business Address
-- TANISHA ANNETTE ERVIN
8626 LOWER SACRAMENTO RD SUITE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
Mailing Address
-- TANISHA ANNETTE ERVIN
8626 LOWER SACRAMENTO RD SUITE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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