Tamra Dee Srianant PA-C

NPI 1063750719 - Physician Assistant - 363A00000X

NPI Details
NPI 1063750719
Gender Female
Enumeration Date 01/30/2013
Last Updated 05/06/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
9471 HAVEN AVE
SUITE 140
RANCHO CUCAMONGA CA, 91730-5818, US
Phone (909) 474-2333
Fax
Business Location
2851 BEDFORD LN
APT 158
CHINO HILLS CA, 91709-3558, US
Phone (512) 376-0100
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number 22804
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According to our database, Mrs. Tamra Dee Srianant PA-C NPI is 1063750719, taxonomy code is 363A00000X and license number is 22804, license state is located at California. Tamra Dee Srianant PA-C physically located at 9471 Haven Ave, Rancho Cucamonga CA, 91730-5818. NPI Number Tamra Dee Srianant PA-C has the Individual type.

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1063750719 NPI number is provided on an as is basis without warranty of any kind. 1063750719 is maintained by the National Plan & Provider Enumeration System. The contents of Tamra Dee Srianant PA-C are for informational purposes only.