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Dale Tiglao Balilo, RN
Psychiatric/Mental Health Registered Nurse in Lakewood, California
NPI 1649855404

Dale Tiglao Balilo is a Psychiatric/Mental Health Registered Nurse based in Lakewood, CA and is specialized in Psychiatric/Mental Health. Dale Tiglao Balilo practices in Lakewood, CA and has the professional credentials of RN. The NPI Number for Dale Tiglao Balilo is 1649855404 and holds a License No. 95160322 (California).

The current practice location address for Dale Tiglao Balilo is 6108 Blackthorne Ave, Lakewood, CA and can be reached out via phone at 619-218-8681.

Location: 6108 Blackthorne Ave, Lakewood, CA, 90712-1118
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Provider Profile Details
NPI Number
1649855404
Provider Name
Dale Tiglao Balilo
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
6108 Blackthorne Ave, Lakewood, CA, 90712-1118
Phone Number
619-218-8681
Fax Number
Provider Enumeration Date
03/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D2928760 01 CA CALIFORNIA REAL ID/DRIVER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
6108 Blackthorne Ave
City
State
Zip
90712-1118
Phone Number
619-218-8681
Fax Number
person
Provider Business Mailing Address Details
Address
6108 Blackthorne Ave
City
State
Zip
90712-1118
Phone Number
619-218-8681
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95160322 (California)
Definition
Definition to come...
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