Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RENE VENZON TICSAY, RT
ActiveMR. RENE VENZON TICSAY, RT is a 2471C3402X healthcare provider located in KAYENTA, Arizona. NPI 1184175432 is currently active in the NPPES registry. Verify at CMS.
2471C3402X · KAYENTA, AZ
Registration Details
- NPI Number
- 1184175432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2016 (9.7786352103132 yrs)
- Last Updated
- Oct 21, 2016
- Licenses
-
14256 (AZ)271815 (MN)
Practice Information
- Address
-
KAYENTA HEALTH CENTER HIGHWAY 160KAYENTA, AZ, 86033Browse AZ providers · Browse ZIP 86033
- Phone
- 9286974306
- Fax
- 9286974107
- Primary Specialty
-
2471C3402X
2471C3402X
- Additional Specialty
- 2471C3402X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.