Individual
LADY MARY LHAINE ESCOTO SAGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 PACHINO CIRCLE APT G, THOUSAND OAKS, CA 91320
(773) 677-2852
Mailing address
1550 PACHINO CIR. APT. G, THOUSAND OAKS, CA 91320
(773) 677-2852
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
737399
CA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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