TASHAKA JACK

WOODLAND HILLS, CA
NPI1861044828
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  685554)
Enumeration Date2019-07-10
Last Update Date2019-07-10
Business Address
TASHAKA JACK lvn
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Phone number: 818-347-1577
Mailing Address
TASHAKA JACK lvn
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364-3301
Phone number:
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