IndividualActive
Deranee Pearl Tabor
NPI 1245100668 · Licensed Practical Nurse · Lodi, CA
Provider details
- NPI number
- 1245100668
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 704752 (CA)
Mailing address
541 S Ham Ln Ste A&b
Lodi, CA 95242-3059
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2025-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.