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1164061800
TANA QUEEN
LONG BEACH, CA
NPI
1164061800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA vn141164)
Enumeration Date
2019-12-28
Last Update Date
2020-01-04
Business Address
TANA QUEEN
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
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Mailing Address
TANA QUEEN
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9126
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