TANNER PAVELKA

SAN DIEGO, CA
NPI1659233955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95036682)
Enumeration Date2025-11-25
Last Update Date2025-11-25
Business Address
TANNER PAVELKA NP
2425 BLOM ST
SAN DIEGO, CA 92109-3735
Phone number: 704-689-5482
Mailing Address
TANNER PAVELKA NP
2425 BLOM ST
SAN DIEGO, CA 92109-3735
Phone number:
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