Most Relevant Information
Provider Data
| NPI Number: | 1003583840 |
| Provider Name: | TANJIA ISLAM TOMA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2021 |
| Last Updated: | 08/28/2021 |
Provider Practice Location
1985 ZONAL AVE
LOS ANGELES
CA
900895305
Practice Location Phone/Fax
| Phone: | 3234421369 |
| Fax: |
Provider Mailing Location
1985 ZONAL AVE
LOS ANGELES
CA
900895305
Provider Mailing Phone/Fax
| Phone: | 3234421369 |
| Fax: |