Provider Demographics
NPI:1023428042
Name:TUDELA, JESSE MASGA (RRT)
Entity type:Individual
Prefix:MR
First Name:JESSE
Middle Name:MASGA
Last Name:TUDELA
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Gender:M
Credentials:RRT
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Mailing Address - Street 1:PO BOX 500515
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-0515
Mailing Address - Country:US
Mailing Address - Phone:670-234-8950
Mailing Address - Fax:670-236-8756
Practice Address - Street 1:1 LOWER NAVY HILL ROAD
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-0409
Practice Address - Country:US
Practice Address - Phone:670-234-8950
Practice Address - Fax:670-236-8756
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered