Individual
YAJAIRA CAMILA TIPAN VALDIVIEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
6431 LAKE TAHOE CT, SAN DIEGO, CA 92119-2534
(619) 724-8780
Mailing address
6431 LAKE TAHOE CT, SAN DIEGO, CA 92119-2534
Taxonomy
Speciality
Code
Description
License number
State
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
Primary
49323
CA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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