Mrs. TARA RITHAPORN AGENA -- M.D.
Individual Provider (NPI-1)
Active
Pediatrics
Provider Information
- NPI Number
1629249859- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 565 N MOUNT VERNON AVE, SAN BERNARDINO, CA, 924112661
- Phone
- (909) 884-9091
- Fax
- (909) 383-7013
Specialties & Taxonomies
Pediatrics
Primary License: CA #A97352