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Dr. Jenine Lucille Tanabe, MD
Specialist in Marysville, California
NPI 1558466680

Jenine Lucille Tanabe is a Specialist based in Marysville, CA. Jenine Lucille Tanabe practices in Marysville, CA and has the professional credentials of MD. The NPI Number for Jenine Lucille Tanabe is 1558466680 and holds a License No. G47810 (California).

The current practice location address for Jenine Lucille Tanabe is 414 G St Ste 204, Marysville, CA and can be reached out via phone at 530-743-0301 and via fax at 530-743-2241.

Location: 414 G St Ste 204, Marysville, CA, 95901-5669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558466680
Provider Name
Jenine Lucille Tanabe
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
414 G St Ste 204, Marysville, CA, 95901-5669
Phone Number
530-743-0301
Fax Number
530-743-2241
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G478101 05 CA
institution
Provider Business Practice Location Address Details
Address
414 G St Ste 204
City
Marysville
State
California
Zip
95901-5669
Phone Number
530-743-0301
Fax Number
530-743-2241
person
Provider Business Mailing Address Details
Address
414 G St Ste 204
City
Marysville
State
California
Zip
95901-5669
Phone Number
530-743-0301
Fax Number
530-743-2241
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G47810 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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