Individual
MRS. JAMIE L TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
785 MAIN ST STE A, HALF MOON BAY, CA 94019-1987
(650) 712-8400
Mailing address
1116 PALOU DR APT SUITE, PACIFICA, CA 94044-4213
(415) 531-4519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8316
CA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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