Individual
BRYAN TAMAO ARCHPRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
456 MADERA AVE APT 6, SUNNYVALE, CA 94086-7428
(808) 741-7798
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4093
CA
390200000X
Student in an Organized Health Care Education/Training Program
748852
CA
Other
Enumeration date
03/12/2011
Last updated
12/30/2021
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