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1043825193
ADALJIZA TAVERA
GARDENA, CA
NPI
1043825193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95013634)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
Ms. ADALJIZA TAVERA PMHNP, FNP
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number: 310-515-8113
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Mailing Address
Ms. ADALJIZA TAVERA PMHNP, FNP
PO BOX 31231
LOS ANGELES, CA 90031-0231
Phone number: 323-947-4901
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