Individual
MRS. TASMIN N. CALISTE TANCORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16214 WHITTIER BLVD, WHITTIER, CA 90603-2901
(562) 315-5260
Mailing address
16214 WHITTIER BLVD, WHITTIER, CA 90603-2901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA21574
CA
363AM0700X
Medical Physician Assistant
Primary
PA21574
CA
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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