Individual
TANNER HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSAT
Contact information
Practice address
22815 ERIEL AVE, TORRANCE, CA 90505-3010
(310) 702-9614
Mailing address
22815 ERIEL AVE, TORRANCE, CA 90505-3010
(310) 702-9614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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