Individual
TANIA Y NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12555 LAKEWOOD BLVD, DOWNEY, CA 90242-2771
(562) 923-4704
Mailing address
21607 JUAN AVE APT 11, HAWAIIAN GARDENS, CA 90716-1145
(562) 405-1068
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49309
CA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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