Individual
TEODORO MARUNGOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
7922 PALM ST, LEMON GROVE, CA 91945-2956
(619) 464-3488
(619) 464-3416
Mailing address
1038 S SUNSHINE AVE, #26, EL CAJON, CA 92020-7558
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
633803
CA
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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