Individual
TAMMY ANN SORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7776 CLEARFIELD AVE, PANORAMA CITY, CA 91402-6508
(520) 403-9276
Mailing address
7776 CLEARFIELD AVE, PANORAMA CITY, CA 91402-6508
(520) 403-9276
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2114
CA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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