Individual
LEAH TAMONDONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 UNIVERSITY AVE, SAN DIEGO, CA 92105-2307
(619) 582-3800
Mailing address
2062 AZURE CV UNIT 2, CHULA VISTA, CA 91915-1344
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
677571
CA
Other
Enumeration date
12/25/2014
Last updated
12/25/2014
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