Individual
MR. ISMAEL D TACTAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
4647 ZION AVENUE, RESPIRATORY CARE 4TH FLOOR, SAN DIEGO, CA 92120
(619) 528-7471
(619) 528-3201
Mailing address
4647 ZION AVENUE, RESPIRATORY CARE 4TH FLOOR, SAN DIEGO, CA 92120
(619) 528-7471
(619) 528-3201
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
22441
CA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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