Individual
MRS. ADELA CAUDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2452 FENTON ST, CHULA VISTA, CA 91914-3599
(619) 600-5309
Mailing address
3797 CORAL SHORES CT, SAN YSIDRO, CA 92173-5912
(619) 690-4677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694236
CA
163WM0705X
Medical-Surgical Registered Nurse
694236
CA
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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