Individual
TASHI CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1007
(909) 612-4295
Mailing address
560 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765-1007
(909) 612-4295
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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