Individual provider · Type 1 NPI
Risa Booc Tudtud
Multi-Specialty Clinic/Center · Santee, CA
NPI number
1003176801
Active
Practice location
10760 N Magnolia Ave, 8B
Santee, CA 92071-1292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 748247 (CA) |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1003176801
Risa Booc Tudtud's National Provider Identifier is 1003176801, issued on May 25, 2012. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Santee, CA. The record was last updated on May 25, 2012.