EMMANUEL JOHN TAVARES

ROSEVILLE, CA
NPI1619439213
Former NameEMMANUELLE JOHN TAVARES
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: CA  A179377)
Enumeration Date2019-04-02
Last Update Date2024-10-01
Business Address
EMMANUEL JOHN TAVARES MD
3 MEDICAL PLAZA DR STE 250
ROSEVILLE, CA 95661-3089
Phone number: 916-797-4720
Mailing Address
EMMANUEL JOHN TAVARES MD
PO BOX 255228
SACRAMENTO, CA 95865-5228
Phone number: