DOMENIC ALFONSO TAMAYO

EUGENE, OR
NPI1871945352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  500695639)
Enumeration Date2016-07-07
Last Update Date2016-07-07
Business Address
-- DOMENIC ALFONSO TAMAYO
3515 KINSROW AVE APT 406
EUGENE, OR 97401-8019
Phone number: 541-726-8198
Mailing Address
-- DOMENIC ALFONSO TAMAYO
5542 PRANZ PL
EUGENE, OR 97402-1568
Phone number: 541-513-5489