Individual
HUMBERTO MATTHEW TALMADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3335 HARBOR MOON CT, VALLEJO, CA 94591-6331
(415) 902-0939
Mailing address
3335 HARBOR MOON CT, VALLEJO, CA 94591-6331
(415) 902-0939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014716
CA
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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