Individual
TAMARA RAQUEL LANGEVAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT/ MHRT
Contact information
Practice address
14038 CHOCO RD, APPLE VALLEY, CA 92307-5526
(760) 927-8662
Mailing address
14038 CHOCO RD, APPLE VALLEY, CA 92307-5526
(760) 927-8662
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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