Individual
ANGE BARLY TAPCHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3217 ARDLEY DR, ROSEVILLE, CA 95747-9017
(734) 781-5534
Mailing address
3217 ARDLEY DR, ROSEVILLE, CA 95747-9017
(734) 781-5534
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001269
CA
367500000X
Certified Registered Nurse Anesthetist
RN238664
GA
Other
Enumeration date
10/30/2019
Last updated
11/21/2023
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