Individual
EDENMAE CHU-PANGANIBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
889 PIERCE CT, THOUSAND OAKS, CA 91360-6097
(805) 434-6109
Mailing address
889 PIERCE CT, THOUSAND OAKS, CA 91360-6097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029438
CA
Other
Enumeration date
02/13/2024
Last updated
04/16/2024
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