MIMI TARA TAKIGAWA

ANAHEIM, CA
NPI1881069664
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95003325)
Enumeration Date2015-12-05
Last Update Date2017-03-05
Business Address
-- MIMI TARA TAKIGAWA FNP-C
1736 W CHATEAU AVE
ANAHEIM, CA 92804-4504
Phone number: 714-310-7115
Mailing Address
-- MIMI TARA TAKIGAWA FNP-C
1736 W CHATEAU AVE
ANAHEIM, CA 92804-4504
Phone number: