Individual
TANIA SANUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT1
Contact information
Practice address
11216 BUELL ST, DOWNEY, CA 90241-3113
(562) 704-9040
Mailing address
11216 BUELL ST, DOWNEY, CA 90241-3113
(562) 704-9040
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT21783
CA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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