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Tanisha Gilda Booker

Case Manager/Care Coordinator in Pomona, CA. Individual provider (NPI-1).

NPI number1992652010
StatusActive
Last updated in NPPESMar 16, 2026

Details

NPI
1992652010
Entity type
Individual (NPI-1)
Name
Tanisha Gilda Booker
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2026
Certification date
Mar 16, 2026
Last updated
Mar 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–CAYes

Practice location

383 N Main St
Pomona, CA 91768-3826

Phone 909-620-0688

Mailing address

383 N Main St
Pomona, CA 91768-3826

Phone 909-620-0688

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