Individual
EMILY TILDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Contact information
Practice address
1101 S WINCHESTER BLVD STE J215, SAN JOSE, CA 95128-3904
(408) 484-4949
Mailing address
1101 S WINCHESTER BLVD STE J215, SAN JOSE, CA 95128-3904
(408) 484-4949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9854
CA
Other
Enumeration date
06/04/2025
Last updated
06/24/2025
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