Individual
LANCE TAMBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 ARNOLD DR STE 110, MARTINEZ, CA 94553-4189
(925) 387-9808
Mailing address
1340 ARNOLD DR STE 110, MARTINEZ, CA 94553-4189
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95248063
CA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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