Individual
GUSTAVO ADOLFO TANGARIFE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2193 MORNING VISTA DR, MEMPHIS, TN 38134-6018
(901) 283-8047
Mailing address
2193 MORNING VISTA DR, MEMPHIS, TN 38134-6018
(901) 283-8047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000663-PA
PR
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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