Individual
HOLLY KRISTY SANTOS TENAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
2327 TRELLIS ST, CHULA VISTA, CA 91915-2403
(757) 651-7997
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4925
CA
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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