Tanya Kavoussi

NPI #1821625864 in Venice, California

Provider Information

NPI Number: 1821625864
Entity Type: Individual
Name: Tanya Kavoussi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 26, 2020
Last Updated: Mar 26, 2020

Practice Location

Address: 323 LINCOLN BLVD
City: Venice
State: California
ZIP Code: 90291-2842
Phone: (310) 392-4103

Specialties & Taxonomy Codes

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

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