JARRETT TANAKA

TORRANCE, CA
NPI1821589136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: DE  CPO03810)
Additional Taxonomies224P00000X Prosthetist
(Licence: DE  cpo03810)
Enumeration Date2018-05-22
Last Update Date2018-05-22
Business Address
JARRETT TANAKA CPO
23451 MADISON ST STE 200
TORRANCE, CA 90505-4760
Phone number: 310-977-6013
Mailing Address
JARRETT TANAKA CPO
23451 MADISON ST #200
TORRANCE, CA 90505
Phone number: 310-977-6013