Individual
MARIA TERESA TANTOCO NAVARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 INCLINADO, SAN CLEMENTE, CA 92673-3249
(949) 212-7045
Mailing address
3120 INCLINADO, SAN CLEMENTE, CA 92673-3249
(949) 212-7045
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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