Individual
MS. DONNELLE LOUISE TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-2335
(209) 468-0525
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-2335
(209) 468-0525
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN551864
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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