Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC24844 | CA |
NPI | 1801893078 |
---|---|
Provider Name | Dr. Christopher Germain Tarrant |
First Address | Palm Desert, CA 92260-3913 |
Second Address | Palm Desert, CA 92260-3913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2005 |
Last Update Date | 06/02/2008 |