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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIA KATHLEEN MAURICIO TABAGO

Active Sole Proprietor

MIA KATHLEEN MAURICIO TABAGO is a General Practice Nurse healthcare provider located in SANTEE, California. NPI 1396326856 is currently active in the NPPES registry. Verify at CMS.

General Practice Nurse · SANTEE, CA

Registration Details

NPI Number
1396326856
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2021 (5.3466160220805 yrs)
Last Updated
May 6, 2021
Licenses
95226737 (CA)
95226737 (CA)
Sole Proprietor
Yes

Practice Information

Address
655 PARK CENTER DR
SANTEE, CA, 920716957
Browse CA providers · Browse ZIP 92071
Phone
6195965500
Fax
6195965501
Primary Specialty
General Practice Nurse
163WG0000X
Additional Specialty
General Practice Nurse

Other General Practice Nurse Providers in SANTEE, CA

Name Credential NPI
MRS. TERESITA CORPUS ANGEL 1982815155
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.