Tana Marie Richter P.A.-C

NPI 1043427420 - Physician Assistant - 363A00000X

NPI Details
NPI 1043427420
Gender Female
Enumeration Date 05/17/2007
Last Updated 11/20/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
28240 AGOURA RD
SUITE #102
AGOURA HILLS CA, 91301-2485, US
Phone (818) 706-9690
Fax (818) 706-9692
Business Location
4705 VIA DON LUIS
NEWBURY PARK CA, 91320-6814, US
Phone (805) 498-3047
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA14964
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According to our database, Mrs. Tana Marie Richter P.A.-C NPI is 1043427420, taxonomy code is 363A00000X and license number is PA14964, license state is located at California. Tana Marie Richter P.A.-C physically located at 28240 Agoura Rd, Agoura Hills CA, 91301-2485. NPI Number Tana Marie Richter P.A.-C has the Individual type.

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1043427420 NPI number is provided on an as is basis without warranty of any kind. 1043427420 is maintained by the National Plan & Provider Enumeration System. The contents of Tana Marie Richter P.A.-C are for informational purposes only.