Individual
MENARD THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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