Individual
DEXTER YBIOSA TILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 213-4713
Mailing address
14133 CAMINATA AMADOR, SAN DIEGO, CA 92129-2065
(858) 213-4713
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
37169
CA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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