Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeth Justine Tancioco

Individual provider Licensed Vocational Nurse · NPI 1720667983

Jeth Justine Tancioco is a Licensed Vocational Nurse in Newark, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

36823 Ruschin Dr
Newark, CA 94560-3142
Phone: (510) 701-6393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 684271 (CA)

Record details

NPI number1720667983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address36823 Ruschin Dr, Newark, CA 94560-3142

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