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Theodore Dziuba

NPI 1851201610 · on the registry since 2026 · sole proprietor

Practice

Address
931 Chili Aly
Placerville, CA 95667
Phone
(609) 665-2639

Registry record

Primary taxonomy
171400000X
171400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-11

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