Provider Demographics
NPI:1194237537
Name:TARABRINA, ANNA (ND)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:TARABRINA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3776 3RD AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-4127
Mailing Address - Country:US
Mailing Address - Phone:619-850-9074
Mailing Address - Fax:
Practice Address - Street 1:5650 EL CAMINO REAL STE 240
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7129
Practice Address - Country:US
Practice Address - Phone:760-593-4613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND930175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath