Individual
TAM MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2340
Mailing address
8829 LA ZANA CT, FOUNTAIN VALLEY, CA 92708-3320
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
95038441
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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