Tanksley, Randi L
Tanksley, Randi L is an individual health care provider with primary practice located at 1001 Potrero Ave Ste 7G , San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Tanksley, Randi L can be contacted via phone (628) 206-8426.Contact Information
Primary practice address
1001 Potrero Ave Ste 7G
San Francisco CA 94110-3518
Phone: (628) 206-8426
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1295078749 |
|---|---|
| LBN Legal business name | Tanksley, Randi L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2013 |
| Last updated | Mar 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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