Individual
MRS. CHARINA GELLACO QUIAMBAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(209) 492-7150
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 384-6488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008419
CA
Other
Enumeration date
01/30/2018
Last updated
03/23/2018
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