BRIAN EIJIRO TABATA

BIG BEAR LAKE, CA
NPI1437534005
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  52659)
Enumeration Date2015-07-24
Last Update Date2015-10-12
Business Address
-- BRIAN EIJIRO TABATA PA-C
41949 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
Phone number: 909-878-3696
Mailing Address
-- BRIAN EIJIRO TABATA PA-C
41949 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
Phone number: 909-878-3696
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