Individual
LAURA TAPIA-TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 PICO ST, SAN FERNANDO, CA 91340-3503
(818) 627-4777
(818) 627-4758
Mailing address
1212 PICO ST, SAN FERNANDO, CA 91340-3503
(818) 627-4777
(818) 627-4758
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
207671
CA
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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