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Casey V Taitano

Community Health Worker in Chula Vista, CA. Individual provider (NPI-1).

NPI number1972340586
StatusActive
Last updated in NPPESJul 10, 2024

Details

NPI
1972340586
Entity type
Individual (NPI-1)
Name
Casey V Taitano
Sole proprietor
No
Enumeration date
Jul 10, 2024
Certification date
Jul 10, 2024
Last updated
Jul 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

746 Ada St
Chula Vista, CA 91911-2693

Phone 800-640-2933

Mailing address

100 Citronica Ln Apt 217
Lemon Grove, CA 91945-1558

Phone 619-609-1809

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Other Community Health Worker providers in Chula Vista, CA

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