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Individual

ANA WONG PACIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
200 JOSE FIGUERES AVE, SAN JOSE, CA 95116-1500
(408) 259-3022
Mailing address
1886 EAGLE ROCK DR, SAN MARCOS, CA 92069-3281
(760) 484-3460

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95015621
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95015621
CA

Other

Enumeration date
10/12/2020
Last updated
03/28/2024
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