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Individual
TRISHA BADONG
Active
Individual
TRISHA BADONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
716372
CA
363LF0000X
Family Nurse Practitioner
Primary
716372
CA
Other
Enumeration date
08/06/2019
Last updated
01/26/2022
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