Individual
EDWIN PROTACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2615 E CLINTON AVE, FRESNO, CA 93703-2223
(559) 225-6100
Mailing address
2138 S CLAREMONT AVE, FRESNO, CA 93727-6530
(559) 355-2352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
599883
CA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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