Individual
MR. BULMARO TAMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
152 N 3RD ST FL 3, SAN JOSE, CA 95112-5516
(408) 350-7261
Mailing address
152 N 3RD ST FL 3, SAN JOSE, CA 95112-5516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
64455
CA
Other
Enumeration date
12/01/2006
Last updated
05/27/2015
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