Individual
EDWIN JUANENGO DAYRIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
345 CORTE TROVA, CHULA VISTA, CA 91914-4408
(619) 754-3479
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
487568
CA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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