MR. Timothy Earl Wiley, RDO

NPI #1750596755 in San Jose, California

Provider Information

NPI Number: 1750596755
Entity Type: Individual
Name: MR. Timothy Earl Wiley, RDO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician/Technologist
Credential: RDO
Enumeration Date: May 11, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 227 N JACKSON AVE
City: San Jose
State: California
ZIP Code: 95116-1603
Phone: (408) 729-7115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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