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Emmanuel Gonzales Tanay

Registered Nurse in Santee, CA. Individual provider (NPI-1).

NPI number1164045217
StatusActive
Last updated in NPPESMay 23, 2020

Details

NPI
1164045217
Entity type
Individual (NPI-1)
Name
Mr. Emmanuel Gonzales Tanay
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2020
Certification date
May 23, 2020
Last updated
May 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse659796CAYes

Practice location

655 Park Center Dr
Santee, CA 92071-6957

Phone 619-596-6330

Mailing address

1051 Strawberry Creek St
Chula Vista, CA 91913-2829

Phone 619-312-7386

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