Individual
ATTARA ENERVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 16TH ST, SANTA MONICA, CA 90404-2715
(310) 264-6646
(310) 264-6647
Mailing address
1453 16TH ST, SANTA MONICA, CA 90404-2715
(310) 264-6646
(310) 264-6647
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/31/2017
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