Tam, Eisel Aquino

Tam, Eisel Aquino is an individual health care provider with primary practice located at 1900 Sullivan Ave , Daly City CA 94015-2200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tam, Eisel Aquino can be contacted via phone (650) 991-6304.

Contact Information

Primary practice address
1900 Sullivan Ave Daly City CA 94015-2200
Phone: (650) 991-6304
Fax: (650) 991-6540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP13561 California

Profile Details

NPI number 1215093794
LBN Legal business name Tam, Eisel Aquino
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215093794 NPPES
California Other NP13561 STATE LICENSE NUMBER

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