Individual
MRS. JESSICA MARLEE TAGORDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-5984
Mailing address
3751 ACKERMAN DR, LOS ANGELES, CA 90065-3505
(714) 585-1565
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3813
CA
Other
Enumeration date
02/13/2009
Last updated
12/15/2021
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