TANAYA SPARKLE

BURBANK, CA
NPI1609218023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  C196215)
Additional Taxonomies207L00000X Anesthesiology
(Licence: OH  35.133371)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-07-26
Last Update Date2025-01-15
Business Address
TANAYA SPARKLE M.D.
501 S BUENA VISTA ST
BURBANK, CA 91505-4809
Phone number: 773-875-5610
Mailing Address
TANAYA SPARKLE M.D.
12105 FALCON CREST WAY
PORTER RANCH, CA 91326-3896
Phone number: 773-875-5610