Kelly Tanacea

NPI #1992237507 in Santa Ana, California

Provider Information

NPI Number
1992237507
Entity Type
Individual
Name
Kelly Tanacea
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Apr 2, 2017
Last Updated
Apr 2, 2017

Practice Location

Address
3301 S BEAR ST
Address 2
35F
ZIP Code
92704-7263
Phone
(949) 524-0706

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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