Most Relevant Information
Provider Data
| NPI Number: | 1003585787 |
| Provider Name: | TALIA BANAYAN MA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2021 |
| Last Updated: | 09/07/2021 |
Provider Practice Location
1000 W CARSON ST # 488
TORRANCE
CA
905022004
Practice Location Phone/Fax
| Phone: | 4243065737 |
| Fax: |
Provider Mailing Location
1000 W CARSON ST # 488
TORRANCE
CA
905022004
Provider Mailing Phone/Fax
| Phone: | 4243065737 |
| Fax: |