Individual
ENETI TAGALOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MOUNT VERNON AVE # 39, BAKERSFIELD, CA 93306-4018
(661) 326-2237
(661) 326-2235
Mailing address
1700 MOUNT VERNON AVE # 39, BAKERSFIELD, CA 93306-4018
(661) 326-2237
(661) 326-2235
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
199014
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
11/19/2024
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