Individual
MR. JOSIAH MICAH TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH SERVIC TECH
Contact information
Practice address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 437-3582
(510) 437-3611
Mailing address
1 EAGLE RD, ALAMEDA, CA 94501-5100
(510) 437-3582
(510) 437-3611
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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