Den P Tati-Mackaya

NPI #1841172202 in Fairborn, Ohio

Provider Information

NPI Number: 1841172202
Entity Type: Individual
Name: Den P Tati-Mackaya
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jul 24, 2025
Last Updated: Jul 24, 2025

Practice Location

Address: 1177 KATY MEADOW CT
City: Fairborn
State: Ohio
ZIP Code: 45324-8720
Phone: (443) 653-7755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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