LAQUAJAWAN TAMBOURA LANIER

HUNTINGTON PARK, CA
NPI1447957766
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2023-02-08
Last Update Date2023-02-08
Business Address
LAQUAJAWAN TAMBOURA LANIER
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
Mailing Address
LAQUAJAWAN TAMBOURA LANIER
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
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