Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1023243615 |
---|---|
Provider Name | Ms. Maria E Talamantes |
First Address | Los Angeles, CA 90057-4303 |
Second Address | Los Angeles, CA 90057-4303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 15/06/2009 |