MRS. Tana Marie Richter, P.A.-C

NPI #1043427420 in Agoura Hills, California

Provider Information

NPI Number: 1043427420
Entity Type: Individual
Name: MRS. Tana Marie Richter, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: May 17, 2007
Last Updated: Nov 20, 2012

Practice Location

Address: 28240 AGOURA RD
Address 2: SUITE #102
City: Agoura Hills
State: California
ZIP Code: 91301-2485
Phone: (818) 706-9690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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