Individual
MAWAYIDNA TIWARIKA TOMBEGOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1345 TURK ST APT 206, SAN FRANCISCO, CA 94115-8720
(415) 309-8858
Mailing address
13690 E 14TH ST STE 100, SAN LEANDRO, CA 94578-2584
(510) 239-3048
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95015556
CA
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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