| NPI | 1639935968 |
|---|---|
| Other Name | VINCE TEJADA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95029186) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CA 95248661) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |