Garnet Tattoo
NPI #1194181602 in San Diego, California
Provider Information
- NPI Number
- 1194181602
- Entity Type
- Organization
- Organization Name
- Garnet Tattoo
- Primary Specialty
- Specialist/Technologist, Other - Art, Medical
- Enumeration Date
- Jan 13, 2016
- Last Updated
- Jan 13, 2016
Practice Location
- Address
- 1968 GARNET AVE
- City
- San Diego
- State
- California
- ZIP Code
- 92109-3555
- Phone
- (619) 942-9737
Authorized Official
- Name
- TONI LOUISE WALLIN
- Title
- MANAGER
- Phone
- (612) 214-1311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Art, Medical — Art, Medical |
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