Tanya Stallworth

NPI #1184221152 in Berkeley, California

Provider Information

NPI Number: 1184221152
Entity Type: Individual
Name: Tanya Stallworth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 2, 2020
Last Updated: Oct 2, 2020

Practice Location

Address: 1625 JULIA ST
City: Berkeley
State: California
ZIP Code: 94703-2017
Phone: (510) 717-8591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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