Individual
MRS. CARLA ABIGAIL RUMBAOA TAYAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN, RN
Contact information
Practice address
655 PARK CENTER DR, SANTEE, CA 92071-6957
(619) 596-5500
Mailing address
4390 ROSEBUD LN APT D, LA MESA, CA 91941-6236
(408) 479-1625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95200298
CA
164X00000X
Licensed Vocational Nurse
Primary
283720
CA
Other
Enumeration date
11/01/2018
Last updated
08/05/2019
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