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Individual

FROILAND AGANA ASCANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8649
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95003517
CA
363LP0200X
Pediatric Nurse Practitioner
95003517
CA

Other

Enumeration date
10/27/2016
Last updated
04/05/2018
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