Most Relevant Information
Provider Data
| NPI Number: | 1003466418 |
| Provider Name: | AMY TISCHMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2019 |
| Last Updated: | 09/17/2019 |
Provider Practice Location
14687 AVENIDA CENTRAL
LA GRANGE
CA
953299799
Practice Location Phone/Fax
| Phone: | 2098522583 |
| Fax: |
Provider Mailing Location
14687 AVENIDA CENTRAL
LA GRANGE
CA
953299799
Provider Mailing Phone/Fax
| Phone: | 2098522583 |
| Fax: |