Search › California › 163WL0100X

Tanecia Favors, RN, CLC

NPI 1952019747 · on the registry since 2022 · sole proprietor

Practice

Address
10144 Epperson Way
San Diego, CA 92124
Phone
(619) 630-5684

Registry record

Primary taxonomy
163WL0100X
163WL0100X
Also registered as
163W00000X
163W00000X
174N00000X
Licence states on file
CA, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California