Tasha Rena Waller
Tasha Rena Waller is a Registered Nurse in Carson, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
16909 Belforest DrCarson, CA 90746-1112
Phone: (310) 404-3867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 701821 (CA) |
|---|
Record details
| NPI number | 1952164105 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 31, 2024 |
| Last updated in NPPES | January 31, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 16909 Belforest Dr, Carson, CA 90746-1112 |
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