Individual
MRS. AIMEE PAYUMO TAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1075 CAMINO DEL RIO S, SAN DIEGO, CA 92108-3538
(619) 881-4500
Mailing address
4422 42ND ST APT 6, SAN DIEGO, CA 92116-4789
(347) 337-2471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
663558
NY
163W00000X
Registered Nurse
Primary
95208672
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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