MISS Tatiana Gina Chakko

NPI #1013461706 in Culver City, California

Provider Information

NPI Number: 1013461706
Entity Type: Individual
Name: MISS Tatiana Gina Chakko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 4760 SEPULVEDA BLVD
City: Culver City
State: California
ZIP Code: 90230-4820
Phone: (310) 390-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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