Provider Demographics
NPI:1780705558
Name:LAYUG, MERLITA DABU (LVN)
Entity type:Individual
Prefix:MRS
First Name:MERLITA
Middle Name:DABU
Last Name:LAYUG
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:MERLITA
Other - Middle Name:DABU
Other - Last Name:LAYUG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN
Mailing Address - Street 1:32844 CHARISMATIC CIR
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-7845
Mailing Address - Country:US
Mailing Address - Phone:858-490-4400
Mailing Address - Fax:858-490-4405
Practice Address - Street 1:10948 DEERING ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2120
Practice Address - Country:US
Practice Address - Phone:858-695-3487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA164X00000X164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse