TANYA MARIE FASTNACHT

RIDGECREST, CA
NPI1750926788
Former NameTANYA MARIE FRANDSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-11-13
Last Update Date2019-11-13
Business Address
TANYA MARIE FASTNACHT
1400 N NORMA ST
RIDGECREST, CA 93555-2575
Phone number: 760-463-5053
Mailing Address
TANYA MARIE FASTNACHT
337 LARKSPUR ST
RIDGECREST, CA 93555-4429
Phone number: 425-501-4808