Individual
ANDRE NICHOLAS TAMPOS CASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 MARKET ST, SAN FRANCISCO, CA 94102-6228
(415) 476-3902
Mailing address
2610 ETNA ST, BERKELEY, CA 94704-3451
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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