Individual
AMAKO TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 W 224TH ST, CARSON, CA 90745-3606
(310) 513-8070
Mailing address
340 W 224TH ST, CARSON, CA 90745-3606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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