Individual
ENRIQUE TALAMANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9696 STEPHENS ST, DELHI, CA 95315-9550
(209) 667-0702
(209) 667-6737
Mailing address
1763 GROGAN AVE, PO BOX 3768, MERCED, CA 95341-6455
(209) 725-7149
(209) 726-0134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065229
NCCPA CERT #
CA
Enumeration date
11/22/2005
Last updated
03/07/2023
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