Individual
ASHLEY BANAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
690 OXFORD ST, CHULA VISTA, CA 91911-7111
(619) 404-3033
Mailing address
181 E ORANGE AVE APT J4, CHULA VISTA, CA 91911-5401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95042777
CA
Other
Enumeration date
11/01/2016
Last updated
01/06/2017
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