Most Relevant Information
Provider Data
| NPI Number: | 1003053968 |
| Provider Name: | TANYA ELAN BULLWINKLE L.M. |
| Entity Type: | Individual |
| Taxonomy Code: | 176B00000X |
| Specialty: | Midwife |
| License Number: | LM238 |
Most Important Dates
| Enumeration Date: | 01/14/2009 |
| Last Updated: | 12/19/2012 |
Provider Practice Location
3225 TIMBER FALL CT
EUREKA
CA
955034892
Practice Location Phone/Fax
| Phone: | 7074425700 |
| Fax: |
Provider Mailing Location
475 HOWARD HEIGHTS RD
EUREKA
CA
955039570
Provider Mailing Phone/Fax
| Phone: | 7074077566 |
| Fax: |