Individual
NICOLE TANTOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(925) 858-8100
Mailing address
1001 POTRERO AVE # 6D, SAN FRANCISCO, CA 94110-3518
(925) 858-8100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A167321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RES000
—
CA
Enumeration date
03/23/2018
Last updated
03/10/2021
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