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Individual

MICHELE C TOMASULO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5733 LOCHCARRON DR, MARYSVILLE, CA 95901-8367
(925) 408-4427
Mailing address
5733 LOCHCARRON DR, MARYSVILLE, CA 95901-8367
(925) 408-4427

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
374606
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
11613
CA

Other

Enumeration date
03/24/2006
Last updated
03/12/2018
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