KEN YOSHIO TANISAWA

BURLINGAME, CA
NPI1669579660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  5604TPA)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- KEN YOSHIO TANISAWA OD
1419 BURLINGAME AVENUE SUITE F
BURLINGAME, CA 94010-4119
Phone number: 650-342-7715
Mailing Address
-- KEN YOSHIO TANISAWA OD
1419 BURLINGAME AVENUE SUITE F
BURLINGAME, CA 94010-4119
Phone number: 650-342-7715
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