Individual
TANEA DWAN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
2523 YEARLING ST, LAKEWOOD, CA 90712-2829
(323) 660-2450
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18149
CA
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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