Individual
SUSIE TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MISSION ST STE 100, SANTA CRUZ, CA 95060-3747
(831) 429-3410
Mailing address
133 MISSION ST STE 100, SANTA CRUZ, CA 95060-3747
(831) 429-3410
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
710624
CA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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