Individual
LAUREL TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
333 GELLERT BLVD, SUITE 229, DALY CITY, CA 94015-2621
(650) 992-8668
Mailing address
333 GELLERT BLVD, SUITE 229, DALY CITY, CA 94015-2621
(650) 992-8668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
754225
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
23354
CA
Other
Enumeration date
11/03/2013
Last updated
11/03/2013
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