Individual
PETER TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3295 MOORLAND AVE, SANTA ROSA, CA 95407-7841
(415) 722-8876
(707) 528-3007
Mailing address
PO BOX 833, PENNGROVE, CA 94951-0833
(415) 722-8876
(707) 528-3007
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E041865
CA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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