NPI 1184175432

Rene Venzon Ticsay, RT

Practitioner Radiography Radiologic Technologist Kayenta, AZ

Practice location

Address: Kayenta Health Center Highway 160, Kayenta, AZ 86033
Phone: (928) 697-4306
Fax: (928) 697-4107
Mailing address: 15951 W Cocopah St, Goodyear, AZ 85338-7930

Registered specialties (2)

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 271815 (MN)

Other Radiologic Technologist providers in Arizona →

Radiography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 14256 (AZ)

Registry record

NPI: 1184175432
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2016
Record last updated: 21 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.