Individual
CAMILLE TANQUILUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 E 4TH ST, SANTA ANA, CA 92705-3910
(714) 967-4766
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-5356
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A158481
CA
Other
Enumeration date
04/12/2017
Last updated
12/20/2021
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