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NPI Code Detail

MEDICARE: MARIAH TAFOLLA

MEDICARE:   MARIAH  TAFOLLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianA67853CA

General Provider Information

NPI Number : 1215682596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH TAFOLLA
Provider Business Mailing Address
First Line : 8302 ESPRESSO DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-5687
Country : US
Telephone Number : 661-771-3351
Fax Number :
Provider Business Practice Location Address
First Line : 8302 ESPRESSO DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-5687
Country : US
Telephone Number : 661-771-3351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2022
Last Update Date : 02/15/2022

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Directions to “ MARIAH TAFOLLA ” Practice Location

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