Individual
TAMI LE MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9890 COUNTY FARM RD BLDG 2, RIVERSIDE, CA 92503-3505
(951) 509-2499
Mailing address
9825 MAGNOLIA AVE STE B, RIVERSIDE, CA 92503-3565
(951) 509-2499
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
95037729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95037729
CALIFORNIA NURSING BOARD
CA
Enumeration date
08/28/2017
Last updated
07/21/2022
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