Organization
JEFFREY T TAHAURI
Active
Organization
JEFFREY T TAHAURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY TAHAURI (PTA)
(760) 885-3063
Entity
Organization
Contact information
Practice address
10661 ORCHID AVE., HESPERIA, CA 92345
(760) 885-3063
Mailing address
10661 ORCHID AVE., HESPERIA, CA 92345
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AT4227
CA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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