NICOLE MONCADA TANAKA

SAN DIEGO, CA
NPI1558924217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT296235)
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
NICOLE MONCADA TANAKA DPT
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5829
Mailing Address
NICOLE MONCADA TANAKA DPT
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123-4223
Phone number: 858-576-1700
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