Individual
KIMBERLY ANN LEE-TIGLAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
872 RICH CIR, VACAVILLE, CA 95687-7562
(925) 529-2594
Mailing address
872 RICH CIR, VACAVILLE, CA 95687-7562
(925) 529-2594
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHF00090276
CA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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