Provider Demographics
NPI:1801916226
Name:LLAMADO, MARIA THERESA ABE (BSN RN PHN)
Entity type:Individual
Prefix:MISS
First Name:MARIA THERESA
Middle Name:ABE
Last Name:LLAMADO
Suffix:
Gender:F
Credentials:BSN RN PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2020 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104
Mailing Address - Country:US
Mailing Address - Phone:619-294-5966
Mailing Address - Fax:
Practice Address - Street 1:2022 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-1016
Practice Address - Country:US
Practice Address - Phone:619-294-5966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA471911163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health