| NPI | 1700333739 |
|---|---|
| Former Name | ALEXIS TAMOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA ma058583) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2018-11-15 |