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Individual
MARIE N TUMUSOK
Active
Individual
MARIE N TUMUSOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A98755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553955
MCARE RHC
CA
05
—
GR0089250
—
CA
05
—
RHM53955F
—
CA
01
—
YYY20230Y
MEDICARE
CA
Enumeration date
08/07/2007
Last updated
07/07/2015
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