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Ta-Taneisha Thames

NPI 1821505942 · on the registry since 2018 · sole proprietor

Practice

Address
17805 Cottonwood Ct
Carson, CA 90746
Phone
(310) 480-8062
Fax
(310) 982-2144

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-10

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