Individual
ALVIN CARL TAMAYO DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4819 QUASHNICK RD, STOCKTON, CA 95212-2515
(808) 436-4639
Mailing address
4819 QUASHNICK RD, STOCKTON, CA 95212-2515
(808) 436-4639
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95224987
CA
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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