Individual
TANISHA ANDREA RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 627-4525
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35598
CA
Other
Enumeration date
04/03/2018
Last updated
06/28/2024
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