Individual provider · Type 1 NPI

Jonathan Lee Tillotson

Other Technician · Alameda, CA

NPI number 1861529539 Active

Practice location

1 Eagle Rd
Alameda, CA 94501-5100

Mailing address

Comdt CG-1122 Uscg, 2100 2nd St SW, Suite 5314
Washington, DC 20593-0001

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1861529539

Jonathan Lee Tillotson's National Provider Identifier is 1861529539, issued on Feb 28, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Alameda, CA. The record was last updated on Jul 8, 2007.