Individual provider · Type 1 NPI
Tommy Petch Eagatatt
Psychiatric/Mental Health Registered Nurse · Costa Mesa, CA
NPI number
1306699418
Active
Practice location
301 Victoria St
Costa Mesa, CA 92627-7131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95231640 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
108 other providers at this address
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About NPI 1306699418
Tommy Petch Eagatatt's National Provider Identifier is 1306699418, issued on Apr 9, 2024. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Costa Mesa, CA. The record was last updated on Apr 9, 2024.