Individual
ANGIE DEGENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3690
(951) 784-3257
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3690
(951) 784-3257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017898
CA
Other
Enumeration date
03/04/2020
Last updated
04/11/2025
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