Individual
PAUL TABLADILLO
Active
Individual
PAUL TABLADILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95021313
CA BRN
CA
Enumeration date
11/14/2022
Last updated
06/12/2023
Update your record
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