Individual
MISS TARA BANGTHAMAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6798
(818) 719-3525
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6798
(818) 719-3525
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
33634
CA
Other
Enumeration date
08/09/2018
Last updated
12/27/2021
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