Individual
ANNA RUTH TABO ESCUDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7812
Mailing address
333 CITY BLVD W STE 1205, ORANGE, CA 92868-2957
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007148
CA
363LF0000X
Family Nurse Practitioner
95007148
CA
Other
Enumeration date
08/17/2017
Last updated
01/17/2024
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