Provider Demographics
NPI:1588098875
Name:GARNES, TAMARA
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:
Last Name:GARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39155 LIBERTY ST
Mailing Address - Street 2:E500
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1513
Mailing Address - Country:US
Mailing Address - Phone:510-574-2100
Mailing Address - Fax:510-574-2105
Practice Address - Street 1:39155 LIBERTY ST
Practice Address - Street 2:E500
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1513
Practice Address - Country:US
Practice Address - Phone:510-574-2100
Practice Address - Fax:510-574-2105
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist