Individual
MR. JOSE TIRADO-ORTEGA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 WILSON ST, DALY CITY, CA 94014-1060
(305) 775-0497
Mailing address
72 WILSON ST, DALY CITY, CA 94014-1060
(305) 775-0497
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1327582
ABMP
CA
Enumeration date
07/14/2022
Last updated
07/14/2022
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