person
Mr. Timothy Earl Wiley, RDO
Technician/Technologist in San Jose, California
NPI 1750596755

Timothy Earl Wiley is a Technician/Technologist based in San Jose, CA. Timothy Earl Wiley practices in San Jose, CA and has the professional credentials of RDO. The NPI Number for Timothy Earl Wiley is 1750596755 and holds a License No. D3539 (California).

The current practice location address for Timothy Earl Wiley is 227 N Jackson Ave, San Jose, CA and can be reached out via phone at 408-729-7115 and via fax at 408-729-7115.

Location: 227 N Jackson Ave, San Jose, CA, 95128-3310
person
Provider Profile Details
NPI Number
1750596755
Provider Name
Timothy Earl Wiley
Credential
RDO
Provider Entity Type
Individual
Gender
Male
Address
227 N Jackson Ave, San Jose, CA, 95128-3310
Phone Number
408-729-7115
Fax Number
408-729-7115
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1713912 05 CA
institution
Provider Business Practice Location Address Details
Address
227 N Jackson Ave
City
State
Zip
95116-1603
Phone Number
408-729-7115
Fax Number
408-729-7115
person
Provider Business Mailing Address Details
Address
227 N Jackson Ave
City
State
Zip
95116-1603
Phone Number
408-729-7115
Fax Number
408-729-7115
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
License No.
D3539 (California)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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