Individual
MIE TANKAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
12570 MONTELLANO TER, SAN DIEGO, CA 92130-2281
(206) 753-8866
Mailing address
12570 MONTELLANO TER, SAN DIEGO, CA 92130-2281
(206) 753-8866
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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