Individual
LEONISA PANGILINAN NILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
690 OXFORD ST, CHULA VISTA, CA 91911-7111
(619) 336-5857
Mailing address
733 MARIPOSA CIR, NATIONAL CITY, CA 91950-2787
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
525509
CA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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