NPI 1255512232
Mark Tavares
Practice location
- Address
- 2230 9th St, Sacramento, CA 95818-1310
- Phone
- (916) 448-7391
- Fax
- (916) 441-1600
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1255512232
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Nov 2007
- Record last updated
- 19 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.