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Individual

DR. ANDREW J TAMANAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
9327 FAIRWAY VIEW PL STE 110, RANCHO CUCAMONGA, CA 91730-0969
(099) 453-3309
(909) 945-1031
Mailing address
3102 E. HIGHLAND AVENUE, MEDICAL STAFF OFFICE, PATTON, CA 92369
(909) 425-7679
(909) 425-6635

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21662
CA

Other

Enumeration date
02/26/2009
Last updated
11/07/2018
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