MICHAEL TANNER

CAMARILLO, CA
NPI1801014824
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
-- MICHAEL TANNER
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
Mailing Address
-- MICHAEL TANNER
1247 PETIT AVE
VENTURA, CA 93004-2628
Phone number: