Provider Demographics
NPI:1588839583
Name:DOBRZANSKI, TANYA MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:MARIA
Last Name:DOBRZANSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-2609
Mailing Address - Country:US
Mailing Address - Phone:408-781-2579
Mailing Address - Fax:
Practice Address - Street 1:7575 SOQUEL DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3815
Practice Address - Country:US
Practice Address - Phone:831-688-5156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor