TARA RITHAPORN AGENA

SAN BERNARDINO, CA
NPI1629249859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A97352)
Enumeration Date2008-03-15
Last Update Date2021-11-29
Business Address
Mrs. TARA RITHAPORN AGENA M.D.
565 N MOUNT VERNON AVE
SAN BERNARDINO, CA 92411-2661
Phone number: 909-884-9091
Mailing Address
Mrs. TARA RITHAPORN AGENA M.D.
685 CARNEGIE DR SUITE 230
SAN BERNARDINO, CA 92408-3502
Phone number: 909-890-0407