Individual provider · Type 1 NPI
Masina Tillo
Specialist · Oakland, CA
NPI number
1962708305
Active
Practice location
4368 Lincoln Ave
Oakland, CA 94602-2529
Fax (510) 530-8083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1962708305
Masina Tillo's National Provider Identifier is 1962708305, issued on Feb 2, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oakland, CA. The record was last updated on Feb 2, 2011.