JOSE G. TANDOC

PORT HURON, MI
NPI1457452294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704207032)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
Mr. JOSE G. TANDOC CRNA
2601 ELECTRIC AVE
PORT HURON, MI 48060-6587
Phone number: 810-985-1500
Mailing Address
Mr. JOSE G. TANDOC CRNA
56432 EDGEWOOD DR
SHELBY TOWNSHIP, MI 48316-5832
Phone number:
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