Provider Demographics
NPI:1952145526
Name:TARAKDIAN, DAYSE PATRICIA (PILATES INTRUCTOR)
Entity type:Individual
Prefix:
First Name:DAYSE
Middle Name:PATRICIA
Last Name:TARAKDIAN
Suffix:
Gender:F
Credentials:PILATES INTRUCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14751 PLAZA DR UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-2702
Mailing Address - Country:US
Mailing Address - Phone:310-435-5880
Mailing Address - Fax:
Practice Address - Street 1:14751 PLAZA DR UNIT 1A
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-2702
Practice Address - Country:US
Practice Address - Phone:310-435-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach