Etheridge, Tami Renee
Etheridge, Tami Renee is an individual health care provider with primary practice located at 8717 Venice Blvd , Los Angeles CA 90034-3216. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Etheridge, Tami Renee can be contacted via phone (310) 337-7115.Contact Information
Primary practice address
8717 Venice Blvd
Los Angeles CA 90034-3216
Phone: (310) 337-7115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 11583 | California |
Profile Details
| NPI number | 1780980409 |
|---|---|
| LBN Legal business name | Etheridge, Tami Renee |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2011 |
| Last updated | Jan 27th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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