TARA MICICH

Registered Nurse

NPI: 1174480719Individual

Specialties, Licenses & Credentials

Registered NursePrimary

Registered Nurse

Code: 163W00000X

95419904(CA)

Contact & Hours

Address: 2410 S REDONDO BLVD
LOS ANGELES, CA 90016
Phone: (862) 763-2079

Quick Facts

NPI: 1174480719
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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