MA TANIA DE JESUS MADDOX

NORTHRIDGE, CA
NPI1952926651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-06-09
Last Update Date2020-06-09
Business Address
MA TANIA DE JESUS MADDOX
18111 NORDHOFF ST
NORTHRIDGE, CA 91330-8200
Phone number: 818-770-9693
Mailing Address
MA TANIA DE JESUS MADDOX
19709 GRESHAM ST
NORTHRIDGE, CA 91324-3316
Phone number: 818-770-9693