Individual
HEIDI ESTIGO TAYAOTAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
600 B ST STE 1570, SAN DIEGO, CA 92101-4560
(619) 615-0439
(619) 615-3197
Mailing address
600 B ST STE 1570, SAN DIEGO, CA 92101-4560
(619) 615-0439
(619) 615-3197
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
236612
CA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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