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Individual

SHENA UNSOO CACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, PHN

Contact information

Practice address
5630 OVERLAND AVE, SAN DIEGO, CA 92123
(619) 236-2191
Mailing address
1363 VALLEJO MILLS ST, CHULA VISTA, CA 91913-2939
(858) 354-6705

Taxonomy

Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
561785
CA
163WM0705X
Medical-Surgical Registered Nurse
Primary
95199887
CA
163WX0200X
Oncology Registered Nurse
796201
CA

Other

Enumeration date
12/10/2021
Last updated
12/10/2021
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