TANEN TYRELL ST. CLAIR - BROWN

SANTA CRUZ, CA
NPI1487040739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A17296)
Enumeration Date2015-04-14
Last Update Date2026-09-11
Business Address
TANEN TYRELL ST. CLAIR - BROWN
1156 HIGH ST
SANTA CRUZ, CA 95064-1099
Phone number: 831-459-2869
Mailing Address
TANEN TYRELL ST. CLAIR - BROWN
1156 HIGH ST
SANTA CRUZ, CA 95064-1099
Phone number: 831-459-2869
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