KINN JAMES TAGARDA TABIL

SANTA ANA, CA
NPI1861182990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95212525)
Enumeration Date2023-05-11
Last Update Date2023-05-11
Business Address
KINN JAMES TAGARDA TABIL
405 W 5TH ST
SANTA ANA, CA 92701-4599
Phone number: 714-834-5414
Mailing Address
KINN JAMES TAGARDA TABIL
6428 BLUEBELL ST
EASTVALE, CA 92880-0736
Phone number: 951-416-9551
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