| Tanya Stallworth, | |
|
1625 Julia St, Berkeley, CA 94703-2017 | |
| (510) 717-8591 | |
| Not Available |
| Full Name | Tanya Stallworth |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1625 Julia St, Berkeley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184221152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 74538 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Stallworth, 1625 Julia St, Berkeley, CA 94703-2017 Ph: (510) 717-8591 | Tanya Stallworth, 1625 Julia St, Berkeley, CA 94703-2017 Ph: (510) 717-8591 |
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