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NPI Code Detail

MEDICARE: TIKA SHOULDERS

MEDICARE: TIKA SHOULDERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1558729699
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIKA SHOULDERS
Provider Business Mailing Address
First Line : 506 W JACKMAN ST
Second Line :
City : LANCASTER
State : CA
Zip : 93534-2531
Country : US
Telephone Number : 661-674-6438
Fax Number :
Provider Business Practice Location Address
First Line : 506 W JACKMAN ST
Second Line :
City : LANCASTER
State : CA
Zip : 93534-2531
Country : US
Telephone Number : 661-674-6438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2016
Last Update Date : 03/15/2016

Similar Medicare Providers

1821072950 — DR. WILLARD QUIRK JR. M.D.
Practice Location Address:
506 W JACKMAN ST
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93534-2531
Practice Phone: 661-802-1467
Practice Fax:
1730206285 — MRS. JOANA PAVO DOMINGO LMFT
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1164549432 — MS. ELIZABETH HODGEN MAGINITY
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506 W JACKMAN ST , 107
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Practice Fax:
1447377437 — ANITA HERNANDEZ
Practice Location Address:
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LANCASTER, CA
93534-2531
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Practice Fax:
1932226552 — CHRYSTYNE BUGAREN
Practice Location Address:
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LANCASTER, CA
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Practice Fax: 661-726-2854
1396868949 — EILEEN MONTERROSA
Practice Location Address:
506 W JACKMAN ST
LANCASTER, CA
93534-2531
Practice Phone: 661-726-2850
Practice Fax:
1720101389 — MS. NIKKI LEN BRASKET
Practice Location Address:
506 W JACKMAN ST
LANCASTER, CA
93534-2531
Practice Phone: 661-726-2850
Practice Fax: 661-726-2854

Directions to “ TIKA SHOULDERS ” Practice Location

Language Start Address Practice Location
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