Individual
TAMSIE IRVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4369 ROSE LN, CONCORD, CA 94518-1820
(925) 825-3594
Mailing address
4369 ROSE LN, CONCORD, CA 94518-1820
(925) 825-3594
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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