Provider Demographics
NPI:1134286453
Name:ZEISS-TAMPLEN, SHARON M (LAC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:ZEISS-TAMPLEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:M
Other - Last Name:ZEISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1985 SCENIC AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-1949
Mailing Address - Country:US
Mailing Address - Phone:510-846-2547
Mailing Address - Fax:
Practice Address - Street 1:200 MUIR RD
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4614
Practice Address - Country:US
Practice Address - Phone:925-313-9106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7491171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist