MRS. Tanaiah Chanee Calhoun

NPI #1568175974 in Phoenix, Arizona

Provider Information

NPI Number: 1568175974
Entity Type: Individual
Name: MRS. Tanaiah Chanee Calhoun
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center
Enumeration Date: Dec 30, 2022
Last Updated: Dec 30, 2022

Practice Location

Address: 4225 W GLENDALE AVE STE A200
City: Phoenix
State: Arizona
ZIP Code: 85051-8134
Phone: (219) 798-3693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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