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Individual

FABIANA TANTINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4929 WILSHIRE BLVD STE 1000, LOS ANGELES, CA 90010-3825
(323) 743-1122
(323) 652-4301
Mailing address
2140 N HOLLYWOOD WAY # PB7085, BURBANK, CA 91510-8217
(818) 912-4658
(323) 652-4301

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSB94027268
CA

Other

Enumeration date
12/08/2022
Last updated
12/08/2022
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