Tabago, Mia Kathleen Mauricio

Tabago, Mia Kathleen Mauricio is an sole proprietor health care provider with primary practice located at 1832 Alpine Blvd Ste B , Alpine CA 91901-2107. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tabago, Mia Kathleen Mauricio can be contacted via phone (619) 326-4445.

Contact Information

Primary practice address
1832 Alpine Blvd Ste B Alpine CA 91901-2107
Phone: (619) 326-4445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95040457 California
Nursing Service Providers / Gerontology 163WG0600X 95226737 California

Profile Details

NPI number 1396326856
LBN Legal business name Tabago, Mia Kathleen Mauricio
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2021
Last updated Jul 11th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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