TANIQUA S NELSON

VENICE, CA
NPI1083471072
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-03-05
Last Update Date2024-03-05
Business Address
TANIQUA S NELSON
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 323-975-7807
Mailing Address
TANIQUA S NELSON
2200 VIRGINIA AVE
SANTA MONICA, CA 90404-4808
Phone number: 323-975-7807