RUSSELL PATRICK TANEGA

SAN FRANCISCO, CA
NPI1861135907
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  266896)
Enumeration Date2022-04-17
Last Update Date2022-04-17
Business Address
RUSSELL PATRICK TANEGA LVN
1421 BRODERICK ST
SAN FRANCISCO, CA 94115-3304
Phone number: 415-292-1760
Mailing Address
RUSSELL PATRICK TANEGA LVN
1421 BRODERICK ST
SAN FRANCISCO, CA 94115-3304
Phone number: 415-292-1760