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Individual

MRS. TARA M. PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1600 SAN FERNANDO RD., SAN FERNANDO, CA 91340
(818) 365-8086
(818) 898-4826
Mailing address
1172 N. MACLAY AVE., SAN FERNANDO, CA 91340
(818) 898-1388
(818) 365-4031

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
225778
CA

Other

Enumeration date
09/05/2006
Last updated
02/11/2011
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