Individual
DEBBIE TANEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 554-7439
Mailing address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 554-7439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
09/09/2020
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