Individual
CARL ANTHONY YAMBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
101 BODIN CIR, DGMC ER, TRAVIS AFB, CA 94535
(707) 423-3826
Mailing address
10761 BASIE WAY, RANCHO CORDOVA, CA 95670
(707) 416-9103
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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