Individual
DAVID TKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10850 GOLD CENTER DR STE 325, RANCHO CORDOVA, CA 95670-6177
(530) 304-8780
Mailing address
10850 GOLD CENTER DR STE 325, RANCHO CORDOVA, CA 95670-6177
(530) 304-8780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95212426
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
95212426
CA
Other
Enumeration date
10/14/2020
Last updated
10/15/2020
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