Most Relevant Information
Provider Data
| NPI Number: | 1003036450 |
| Provider Name: | TANYA SANDERLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1147 S ALVARADO ST
LOS ANGELES
CA
900064100
Practice Location Phone/Fax
| Phone: | 2133818518 |
| Fax: |
Provider Mailing Location
1303 W 106TH ST
APT 7
LOS ANGELES
CA
900441660
Provider Mailing Phone/Fax
| Phone: | 3237598063 |
| Fax: |