MEDICARE: CHELSEA TARRANT

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
1	124Q00000X	Dental Hygienist	24931	CA

General Provider Information

NPI Number	:	1770388852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA TARRANT

Provider Business Mailing Address
First Line	:	7036 MEADOWLARK LN
Second Line	:
City	:	SHERIDAN
State	:	CA
Zip	:	95681-9703
Country	:	US
Telephone Number	:	530-363-3047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1424 LIVE OAK BLVD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-2910
Country	:	US
Telephone Number	:	530-671-2344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2025
Last Update Date	:	02/13/2025

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Directions to “ CHELSEA TARRANT ” Practice Location

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