Individual
MRS. BRENDA ANN TABONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
160 S. SEVENTH AVENUE, LA PUENTE, CA 91744
(626) 961-8971
Mailing address
160 S. SEVENTH AVENUE, LA PUENTE, CA 91744
(626) 961-8971
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23529
CA
Other
Enumeration date
09/25/2013
Last updated
12/05/2014
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