Individual
MR. THOMAS MARTIN DESIMIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2126 DRAKE LN, HERCULES, CA 94547-5464
(510) 220-0706
(510) 724-1576
Mailing address
2126 DRAKE LN, HERCULES, CA 94547-5464
(510) 220-0706
(510) 724-1576
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
552866
CA
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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