Individual
MS. DERLYN TUMAKAY TABLADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2160 APPIAN WAY STE 200, PINOLE, CA 94564-2565
(510) 724-9110
Mailing address
2160 APPIAN WAY STE 200, PINOLE, CA 94564-2565
(510) 724-9110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95008061
CA
Other
Enumeration date
07/07/2018
Last updated
06/02/2022
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