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Individual
MRS. SUGUNA JAIKUMAR
Active
Individual
MRS. SUGUNA JAIKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
506974
CA
363L00000X
Nurse Practitioner
Primary
95002785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506974
RN LICENSE
CA
Enumeration date
09/18/2013
Last updated
09/15/2015
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