Ford Scott Takaichi ABO

NPI 1093055238 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1093055238
Gender Male
Enumeration Date 02/25/2013
Last Updated 02/25/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
3555 CLARES ST
SUITE H
CAPITOLA CA, 95010-2555, US
Phone (831) 477-4900
Fax (831) 477-4909
Business Location
3555 CLARES ST
SUITE H
CAPITOLA CA, 95010-2555, US
Phone (831) 477-4900
Fax (831) 477-4909
Toxanomy
Taxonomy Code 156FX1800X
License State California
License Number 183993
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According to our database, Ford Scott Takaichi ABO NPI is 1093055238, taxonomy code is 156FX1800X and license number is 183993, license state is located at California. Ford Scott Takaichi ABO physically located at 3555 Clares St, Capitola CA, 95010-2555. NPI Number Ford Scott Takaichi ABO has the Individual type.

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1093055238 NPI number is provided on an as is basis without warranty of any kind. 1093055238 is maintained by the National Plan & Provider Enumeration System. The contents of Ford Scott Takaichi ABO are for informational purposes only.