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Individual

DARYL MADAYAG SORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
656 MOWRY AVE, FREMONT, CA 94536-4113
(510) 818-9237
(510) 818-9222
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95005880
CA
363LF0000X
Family Nurse Practitioner
95005880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95005880
FURNISHING NUMBER
CA
Enumeration date
02/25/2017
Last updated
06/21/2019
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