Individual
ANNA K TAGORDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9462 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1310
(818) 891-8555
Mailing address
9462 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1310
(818) 891-8555
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
240915
CA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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