Individual
TANIA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-3281
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
2121
CA
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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