Individual
MR. EDWARD THOMAS TAMMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
43839 15TH ST W, LANCASTER, CA 93534-4756
(661) 945-5984
(661) 948-1574
Mailing address
PO BOX 7007, LANCASTER, CA 93539-7007
(661) 945-5984
(661) 948-1574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11116
CA
Other
Enumeration date
09/01/2006
Last updated
09/08/2008
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