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Tanalie Banawa, LVN

NPI 1386942621 · on the registry since 2011 · sole proprietor

Practice

Address
981 S Wilton Pl Apt 3
Los Angeles, CA 90019
Phone
(949) 456-0962

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California