Individual
IMEE GRAYDA TUAZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 TUOLUMNE ST, VALLEJO, CA 94589-2523
(707) 644-7401
Mailing address
675 CEMENT HILL RD, FAIRFIELD, CA 94533-1331
(818) 433-5095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9247
CA
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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