Provider Demographics
NPI:1447860945
Name:RIMANDO, VANESSA PEARL ARCEO (RN)
Entity type:Individual
Prefix:
First Name:VANESSA PEARL
Middle Name:ARCEO
Last Name:RIMANDO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 BRANDYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-5849
Mailing Address - Country:US
Mailing Address - Phone:619-818-8686
Mailing Address - Fax:
Practice Address - Street 1:GEORGE BAILEY DETENTION FACILITY 446 ALTA RD SUITE 5300
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92158-0001
Practice Address - Country:US
Practice Address - Phone:619-661-2789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-09
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA781356163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse