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1861044828
TASHAKA JACK
WOODLAND HILLS, CA
NPI
1861044828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 685554)
Enumeration Date
2019-07-10
Last Update Date
2019-07-10
Business Address
TASHAKA JACK lvn
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364
Phone number: 818-347-1577
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Mailing Address
TASHAKA JACK lvn
4900 SERRANIA AVE
WOODLAND HILLS, CA 91364-3301
Phone number:
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