Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA LYNNE MYERS CRNA (CRNA)
(925) 813-7058
Entity
Organization
Contact information
Practice address
5601 DEER VALLEY RD, ANTIOCH, CA 94531-8577
(925) 813-7058
Mailing address
7570 PEDRICK RD., DIXON, CA 95620
(707) 678-5046
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN556980
CA
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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