Individual
TANYA MONIQUE NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
14752 BLUE SKY RD, HACIENDA HEIGHTS, CA 91745-4305
(626) 677-7058
Mailing address
14752 BLUE SKY RD, HACIENDA HEIGHTS, CA 91745-4305
(626) 677-7058
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95009126
CA
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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