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Individual
MARIA CONCEPCION MEDINA BAGGAO
Active
Individual
MARIA CONCEPCION MEDINA BAGGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95005073
NURSE PRACTIONER LICENSE
CA
Enumeration date
02/07/2017
Last updated
09/08/2023
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