Provider Demographics
NPI:1689208787
Name:PAMINTUAN, SABRINA ANN (LVN)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:ANN
Last Name:PAMINTUAN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1348 HOLLY AVE APT D
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:91932-3774
Mailing Address - Country:US
Mailing Address - Phone:619-277-7969
Mailing Address - Fax:
Practice Address - Street 1:8898 CLAIREMONT MESA BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1147
Practice Address - Country:US
Practice Address - Phone:858-715-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270145164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse