Individual
MS. TABITHA JUNE FRONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC
Contact information
Practice address
2232 GLENCOE AVE, VENICE, CA 90291-4039
(310) 403-9317
Mailing address
2232 GLENCOE AVE, VENICE, CA 90291-4039
(310) 403-9317
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
01-199
CA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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