Mr. Dwayne Tatnall
Mr. Dwayne Tatnall is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4110 Santa Fe AveLong Beach, CA 90810-1439
Phone: (310) 847-6422
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1942811229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2020 |
| Last updated in NPPES | August 11, 2020 |
| Certification date | August 11, 2020 |
| Mailing address | 4404 W 59th Pl, Los Angeles, CA 90043-3427 |
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