Individual
CARMEN LIANA DURAN-MAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(209) 890-5353
Mailing address
371 N WASHINGTON ST, SONORA, CA 95370-5637
(209) 890-5353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
781175
CA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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