Individual
AMBER ALEXANDRIA TANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 W ADAMS BLVD # 106, LOS ANGELES, CA 90018-3515
(323) 731-3534
(323) 731-5618
Mailing address
1344 251ST ST # 4A, HARBOR CITY, CA 90710-2843
(323) 494-0472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
07/19/2021
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