Individual
JORGE MA TAMANO
Active
Individual
JORGE MA TAMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, A GNP C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
864562
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11027934
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11027934
FL
Other
Enumeration date
01/25/2016
Last updated
02/19/2024
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