Individual
SONIA GO VERAN-TAGUIBAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 THE CITY BLVD DR S,, BLDG 1, 3RD FLOOR, RM 3003, ORANGE, CA 92868
(714) 456-7890
Mailing address
3786 ROBINWOOD AVE, CLOVIS, CA 93619-8953
(949) 616-8727
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A151907
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2015
Last updated
09/22/2020
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