MEDICARE: SN TUMA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician		CA

General Provider Information

NPI Number	:	1992032676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SN TUMA INC

Provider Business Mailing Address
First Line	:	3425 N 1ST ST STE 207
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-6819
Country	:	US
Telephone Number	:	859-221-3458
Fax Number	:

Provider Business Practice Location Address
First Line	:	3425 N 1ST ST STE 207
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-6819
Country	:	US
Telephone Number	:	859-221-3458
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALLEN GABRIEL
Credential	:
Telephone Number	:	859-221-3458

Provider Enumeration Date	:	11/17/2009
Last Update Date	:	11/19/2009

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Directions to “SN TUMA INC ” Practice Location

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