Individual
CLYDEL JUNE TABACOLDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4000
(925) 847-3000
Mailing address
505 SAINT JOHN ST, PLEASANTON, CA 94566-6534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28604
MD
Other
Enumeration date
02/12/2024
Last updated
02/11/2026
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