Provider Demographics
NPI:1811353345
Name:LAGUITAN, LEVIE TOLENTINO (CST)
Entity type:Individual
Prefix:MRS
First Name:LEVIE
Middle Name:TOLENTINO
Last Name:LAGUITAN
Suffix:
Gender:F
Credentials:CST
Other - Prefix:MRS
Other - First Name:LEVIE
Other - Middle Name:TOLENTINO
Other - Last Name:LAGUITAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CST
Mailing Address - Street 1:2650 ELM AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1600
Mailing Address - Country:US
Mailing Address - Phone:562-427-5409
Mailing Address - Fax:562-426-6321
Practice Address - Street 1:2650 ELM AVE STE 108
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1600
Practice Address - Country:US
Practice Address - Phone:562-427-5409
Practice Address - Fax:562-426-6321
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician