NPI 1003027772
Tanya McCullom
Practice location
- Address
- 7200 Bancroft Ave Suite 125d, Oakland, CA 94605-2403
- Phone
- (510) 777-3886
- Fax
- (510) 777-3880
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003027772
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.