Tanisha Sharee Blaze
Tanisha Sharee Blaze is a Peer Specialist in Fontana, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
14677 Merrill AveFontana, CA 92335
Phone: (951) 643-2340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1104486471 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 18, 2019 |
| Last updated in NPPES | June 18, 2019 |
| Mailing address | 23341 Hemlock Ave Apt 13, Moreno Valley, CA 92557-7003 |
Other providers in Fontana
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Maria Lourdes Avila
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Brenda Carmen Ballesteros
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MS. Agatha D Bernardino
14677 Merrill Ave, Fontana, CA 92335-4219 · (951) 643-2340
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Katiana Charmayne Bland
14677 Merrill Ave, Fontana, CA 92335 · (951) 643-2340
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Joycelyn Loraine Carr
14677 Merrill Ave, Fontana, CA 92335 · (951) 643-2340
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Cynthia Contreras
17053 E Foothill Blvd Bldg B, Fontana, CA 92335 · (909) 347-1300
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15217 San Bernardino Ave, Fontana, CA 92335-5327 · (909) 386-8510
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Dania Michelle De Ramon
14677 Merrill Ave, Fontana, CA 92335-4219 · (714) 809-4807