TANNER EVERETT ROUSE

PASADENA, CA
NPI1932840865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  715710)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
TANNER EVERETT ROUSE LVN
867 N FAIR OAKS AVE
PASADENA, CA 91103-3050
Phone number: 626-798-6793
Mailing Address
TANNER EVERETT ROUSE LVN
5170 OPICI CT
RANCHO CUCAMONGA, CA 91739-2100
Phone number: 909-728-1833
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