TILKSEW A TEDLA

MODESTO, CA
NPI1356856132
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95011063)
Enumeration Date2017-12-03
Last Update Date2026-07-16
Business Address
TILKSEW A TEDLA
PO BOX 3091
MODESTO, CA 95353-3091
Phone number: 209-575-4575
Mailing Address
TILKSEW A TEDLA
PO BOX 3091
MODESTO, CA 95353-3091
Phone number: 209-575-4575
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