Stallworth, Tanya

Stallworth, Tanya is an sole proprietor health care provider with primary practice located at 1625 Julia St , Berkeley CA 94703-2017. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Stallworth, Tanya can be contacted via phone (510) 717-8591.

Contact Information

Primary practice address
1625 Julia St Berkeley CA 94703-2017
Phone: (510) 717-8591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 74538 California

Profile Details

NPI number 1184221152
LBN Legal business name Stallworth, Tanya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2020
Last updated Oct 2nd, 2020 - about 5 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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