Organization
DA VIGO INC, TMD MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMALA DA VIGO (CEO/PRESIDENT)
(916) 235-3316
Entity
Organization
Contact information
Practice address
139 MONOWOOD DR, FOLSOM, CA 95630-2717
(916) 235-3316
Mailing address
139 MONOWOOD DR, FOLSOM, CA 95630-2717
(916) 235-3316
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
06/24/2013
Last updated
07/15/2013
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