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1306567169
TISHA GINA VANTA
LOS ANGELES, CA
NPI
1306567169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
227900000X Respiratory Therapist, Registered
(Licence: CA 39711)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
TISHA GINA VANTA
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-7928
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Mailing Address
TISHA GINA VANTA
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-7928
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