| Karl Udalve Tabora, | |
|
1401 Bailey Ave, Needles, CA 92363-3103 | |
| (916) 831-0782 | |
| Not Available |
| Full Name | Karl Udalve Tabora |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1401 Bailey Ave, Needles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225826720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95034737 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Karl Udalve Tabora, 1510 E Wagon Wheel Ln Ste 104, Fort Mohave, AZ 86426-6698 Ph: (928) 889-2273 | Karl Udalve Tabora, 1401 Bailey Ave, Needles, CA 92363-3103 Ph: (916) 831-0782 |
Czarina Lim Perello, MSN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Bailey Avenue, Needles, CA 92363 Phone: 909-223-1138 | |
Rhonda Iddins Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1402 Bailey Ave, Needles, CA 92363 Phone: 760-326-0222 Fax: 760-326-0221 |