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1033997242
TASHEENA BROADNAX
LOS ANGELES, CA
NPI
1033997242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA64223)
Enumeration Date
2023-09-19
Last Update Date
2024-06-09
Business Address
TASHEENA BROADNAX
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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Mailing Address
TASHEENA BROADNAX
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
Copy
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