Provider Demographics
NPI:1356478671
Name:SUNEGA, DARLENE RUTH (RN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:RUTH
Last Name:SUNEGA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 GLOVER PL
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5708
Mailing Address - Country:US
Mailing Address - Phone:619-425-8041
Mailing Address - Fax:
Practice Address - Street 1:1700 PACIFIC HWY
Practice Address - Street 2:ROOM 107
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2417
Practice Address - Country:US
Practice Address - Phone:619-515-6637
Practice Address - Fax:619-515-6644
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA342882163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health