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Individual
ROSA LIDIA ESTRADA
Active
Individual
ROSA LIDIA ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
611123
CA
363A00000X
Physician Assistant
18489
CA
363L00000X
Nurse Practitioner
16513
CA
Other
Enumeration date
07/19/2021
Last updated
09/04/2021
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