Tanner Lee Risner

NPI #1487214649 in Rosamond, California

Provider Information

NPI Number: 1487214649
Entity Type: Individual
Name: Tanner Lee Risner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Jun 19, 2019
Last Updated: Jun 19, 2019

Practice Location

Address: 2910 B ST APT 12
City: Rosamond
State: California
ZIP Code: 93560-7862
Phone: (567) 674-9135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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