Individual
GREGORY SIAUMAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
8770 CUYAMACA ST STE 4, SANTEE, CA 92071-4289
(619) 596-9890
Mailing address
8770 CUYAMACA ST STE 4, SANTEE, CA 92071-4289
(619) 596-9890
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95031610
CA
Other
Enumeration date
11/01/2022
Last updated
09/30/2024
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