ANDREA HARDISON TACKETT

SAN LUIS OBISPO, CA
NPI1215138789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
(Licence: CA  A116056)
Additional Taxonomies207UN0901X Nuclear Medicine Nuclear Cardiology
(Licence: CA  A116056)
Enumeration Date2007-05-30
Last Update Date2021-06-25
Business Address
ANDREA HARDISON TACKETT MD, FACC
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401-4154
Phone number: 805-782-8844
Mailing Address
ANDREA HARDISON TACKETT MD, FACC
1941 JOHNSON AVE STE 101
SAN LUIS OBISPO, CA 93401-4154
Phone number: 805-782-8844