Provider Demographics
NPI:1558911156
Name:SEGNER, ISAURA MACARENA
Entity Type:Individual
Prefix:MS
First Name:ISAURA
Middle Name:MACARENA
Last Name:SEGNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 PORT HARWICK
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1233
Mailing Address - Country:US
Mailing Address - Phone:951-623-7096
Mailing Address - Fax:
Practice Address - Street 1:594 PORT HARWICK
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-1233
Practice Address - Country:US
Practice Address - Phone:951-623-7096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider