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Individual

MAILA TOLENTINO PATUBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Mailing address
84358 SCARLET WAY, COACHELLA, CA 92236-7337
(760) 771-7032

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
646549
CA
163WM0705X
Medical-Surgical Registered Nurse
646549
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
646549
CA

Other

Enumeration date
07/20/2020
Last updated
07/20/2020
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