Individual
BEA MABER A TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 E AVENUE I, LANCASTER, CA 93535-1916
(661) 471-4055
Mailing address
335 E AVENUE I, LANCASTER, CA 93535-1916
(661) 471-4055
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
273882
CA
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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