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Individual

NICHOLAS TAMBURRI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
11108 CHENNAULT BEACH RD, #1021, MUKILTEO, WA 98275-4903

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004831
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8434011
WA
Enumeration date
05/09/2006
Last updated
07/08/2007
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