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Individual
KRISTINE MAE PASCO
Active
Individual
KRISTINE MAE PASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
363L00000X
Nurse Practitioner
APRN-2024-005
GU
363LF0000X
Family Nurse Practitioner
Primary
95021360
CA
363LF0000X
Family Nurse Practitioner
APRN-2024-005
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y2372490
DRIVER'S LICENSE
CA
Enumeration date
05/06/2019
Last updated
10/28/2024
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