Provider Demographics
NPI:1225244429
Name:TINGZON, VERONICA BURNEO (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:BURNEO
Last Name:TINGZON
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 COMANCHE ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-2955
Mailing Address - Country:US
Mailing Address - Phone:760-941-0855
Mailing Address - Fax:760-941-0855
Practice Address - Street 1:1904 COMANCHE ST
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-2955
Practice Address - Country:US
Practice Address - Phone:760-941-0855
Practice Address - Fax:760-941-0855
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10521587174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist