Individual
LATSAMY TANOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 GROVE ST, NATIONAL CITY, CA 91950-6126
(619) 274-2606
Mailing address
2323 GROVE ST, NATIONAL CITY, CA 91950-6126
(619) 274-2606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10934
CA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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