Provider Demographics
NPI:1437249596
Name:CALUYA, ETHELDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:ETHELDA
Middle Name:
Last Name:CALUYA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:ETHELDA
Other - Middle Name:
Other - Last Name:DELAROSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9400 RUFFIN CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-5300
Mailing Address - Country:US
Mailing Address - Phone:858-874-1082
Mailing Address - Fax:858-874-1165
Practice Address - Street 1:9400 RUFFIN CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-5300
Practice Address - Country:US
Practice Address - Phone:858-874-1082
Practice Address - Fax:858-874-1165
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA498684163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse