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Organization
GERALDINE PEDIATRIC CARE
Active
Organization
GERALDINE PEDIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN PASCUAL (ADMINISTRATOR)
(909) 468-9009
Entity
Organization
Contact information
Practice address
304 CALLE ALCAZAR, WALNUT, CA 91789-1614
(909) 468-9009
Mailing address
304 CALLE ALCAZAR, WALNUT, CA 91789-1614
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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