CARLY AKEMI TAKATA

LONG BEACH, CA
NPI1013768217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA64869)
Enumeration Date2024-03-27
Last Update Date2025-02-28
Business Address
CARLY AKEMI TAKATA
1703 TERMINO AVE STE 108
LONG BEACH, CA 90804-2126
Phone number: 562-498-2481
Mailing Address
CARLY AKEMI TAKATA
2603 BAYPORT DR
TORRANCE, CA 90503-8923
Phone number:
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