Individual
TINA MARIE PHARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
19830 LARBERT ST, SANTA CLARITA, CA 91351-1120
(310) 472-3711
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
7655
CA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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