Individual
IMELDA MARIA C. TANDINCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-2012
Mailing address
3393 PEBBLE BEACH CT, FAIRFIELD, CA 94534-8308
(707) 434-9044
(707) 434-9455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A100134
CA
Other
Enumeration date
11/18/2007
Last updated
11/18/2007
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