Individual
MRS. ROSANNE MAE BULATAO TAYAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHN
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-8017
Mailing address
5871 E CAMINO MANZANO, ANAHEIM, CA 92807-3254
(714) 279-0799
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
615436
CA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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