| Tommy Petch Eagatatt, | |
|
301 Victoria St, Costa Mesa, CA 92627-7131 | |
| (949) 574-3365 | |
| Not Available |
| Full Name | Tommy Petch Eagatatt |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 301 Victoria St, Costa Mesa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306699418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95231640 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tommy Petch Eagatatt, 301 Victoria St, Costa Mesa, CA 92627-1995 Ph: Not Available | Tommy Petch Eagatatt, 301 Victoria St, Costa Mesa, CA 92627-7131 Ph: (949) 574-3365 |
Priscilla Leane Chairoj, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3100 Bristol St Ste 150, Costa Mesa, CA 92626 Phone: 877-527-7227 |
Mrs. Karen Burrola, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 Kalmus Dr, Costa Mesa, CA 92626 Phone: 714-852-5699 Fax: 714-844-3614 |
Karen Ranei Tamayo Cabrera, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 |
Mr. Joseph Michael Seda, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 |
Wayne Andrew Davis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 |
Kim Dang, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-574-3387 |
Skylar Maryn Nash, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 |