Individual
AIMY GRACE TANIGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 SIERRA CIR, SAN RAFAEL, CA 94901-3647
(415) 454-7388
Mailing address
6 SIERRA CIR, SAN RAFAEL, CA 94901-3647
(415) 454-7388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A22851
CA
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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