Individual
ARSENIA PUNSALAN SIBUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 SHERIDAN WAY, SAN MARCOS, CA 92078-0929
(760) 703-9085
Mailing address
1802 SHERIDAN WAY, SAN MARCOS, CA 92078-0929
(760) 703-9085
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N8897409
DRIVER LICENSE
CA
Enumeration date
02/28/2023
Last updated
02/28/2023
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