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Individual
JERRICK KY XANG PADILLA-PHU
Active
Individual
JERRICK KY XANG PADILLA-PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
849559
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95012638
CA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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