Individual
DANIEL TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17466 OWEN ST, FONTANA, CA 92335-3619
(208) 874-9269
Mailing address
17466 OWEN ST, FONTANA, CA 92335-3619
(208) 874-9269
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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