Individual
DHANA CABANTAC REMOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
794 MARSOPA DR, VISTA, CA 92081-6437
(727) 687-9431
Mailing address
2932 LUCIA JADE LOOP, SAN DIEGO, CA 92139-3700
(727) 687-9431
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
95128249
CA
Other
Enumeration date
05/03/2024
Last updated
04/27/2025
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