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NPI Code Detail

MEDICARE: MRS. YVONNE TULLOCH RCSN

MEDICARE: MRS. YVONNE TULLOCH RCSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse446952CA

General Provider Information

NPI Number : 1861051997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. YVONNE TULLOCH RCSN
Provider Business Mailing Address
First Line : 1301 N A ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-3516
Country : US
Telephone Number : 805-742-3301
Fax Number :
Provider Business Practice Location Address
First Line : 1301 N A ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-3516
Country : US
Telephone Number : 805-742-3301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2019
Last Update Date : 06/12/2019

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