Search › California › 167G00000X
Marcel Tillman
NPI 1770338998 · on the registry since 2024 · sole proprietor
Practice
- Address
- 6724 Randall Ln
Highland, CA 92346 - Phone
- (909) 633-3723
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California