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Individual
MR. RICKY MANUEL TAMAYO
Active
Individual
MR. RICKY MANUEL TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN-FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
556136
CA
363LF0000X
Family Nurse Practitioner
Primary
556136
CA
Other
Enumeration date
09/25/2024
Last updated
06/02/2026
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