Jacob Vaitoelau Tautolo
Jacob Vaitoelau Tautolo is a Community Health Worker in Orange, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
265 S Anita Dr Ste 102-104Orange, CA 92868-3355
Phone: (714) 410-3500
Fax: (714) 410-3527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1457120727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2023 |
| Last updated in NPPES | December 27, 2023 |
| Certification date | December 27, 2023 |
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