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Individual
VINCENT-RAY PADILLA TEJADA JR.
Active
Individual
VINCENT-RAY PADILLA TEJADA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
95248661
CA
363LF0000X
Family Nurse Practitioner
Primary
95029186
CA
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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