Provider Demographics
NPI:1861653016
Name:TIU, JOSEFINA DELAPENA (LVN)
Entity Type:Individual
Prefix:
First Name:JOSEFINA
Middle Name:DELAPENA
Last Name:TIU
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 1:8516 SCHNEPLE DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1630
Mailing Address - Country:US
Mailing Address - Phone:858-531-7446
Mailing Address - Fax:858-578-7864
Practice Address - Street 1:8516 SCHNEPLE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126
Practice Address - Country:US
Practice Address - Phone:858-531-7446
Practice Address - Fax:858-578-7864
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN180902164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse