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Tabitha Slivensky

Community Health Worker in Ukiah, CA. Individual provider (NPI-1).

NPI number1194580969
StatusActive
Last updated in NPPESFeb 20, 2024

Details

NPI
1194580969
Entity type
Individual (NPI-1)
Name
Tabitha Slivensky
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2024
Certification date
Feb 20, 2024
Last updated
Feb 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

150 Gibson St
Ukiah, CA 95482-3941

Phone 707-462-4770

Mailing address

Po Box 2077
Ukiah, CA 95482-2077

Phone 707-467-2010

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