Individual
INGA TAMAZOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 SANTA MONICA BLVD, 114, LOS ANGELES, CA 90029-2654
(323) 906-9090
(323) 906-9696
Mailing address
4855 SANTA MONICA BLVD, 114, LOS ANGELES, CA 90029-2654
(323) 906-9090
(323) 906-9696
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
058101
CA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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