Baesa-Sevillano, Tanya Kristine

Baesa-Sevillano, Tanya Kristine is an individual health care provider with primary practice located at 103 Modesto Ave , Modesto CA 95354-0414. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Baesa-Sevillano, Tanya Kristine can be contacted via phone (209) 527-4597.

Contact Information

Primary practice address
103 Modesto Ave Modesto CA 95354-0414
Phone: (209) 527-4597
Fax: (209) 527-4599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1942351887
LBN Legal business name Baesa-Sevillano, Tanya Kristine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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