Mia Kathleen Mauricio Tabago
NPI #1396326856 in Santee, California
Provider Information
- NPI Number
- 1396326856
- Entity Type
- Individual
- Name
- Mia Kathleen Mauricio Tabago
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - General Practice
- Enumeration Date
- Apr 16, 2021
- Last Updated
- May 6, 2021
Practice Location
- Address
- 655 PARK CENTER DR
- City
- Santee
- State
- California
- ZIP Code
- 92071-6957
- Phone
- (619) 596-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Gerontology — Gerontology |
| Registered Nurse - General Practice — General Practice |
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