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TAYLOR MOANA CHAFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(858) 836-8434
Mailing address
31686 CORTE AVALOS, TEMECULA, CA 92592-3911
(951) 833-3260

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95222788
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029573
CA

Other

Enumeration date
10/12/2020
Last updated
06/13/2024
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