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Individual
GENEVIEVE ELON MONGE
Active
Individual
GENEVIEVE ELON MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95012200
CA
363LF0000X
Family Nurse Practitioner
Primary
95012200
CA
Other
Enumeration date
07/12/2019
Last updated
10/08/2020
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