# ALLAIN JULIAN CAMANAG VICTORIANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558807024
- **Gender:** Man
- **Credential:** RN, PHN, AGPCNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 95173882 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 95026004 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | CA | — |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 08/19/2024
