Individual
EDGAR GOMINTONG MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
900 VETERANS BLVD STE 150, REDWOOD CITY, CA 94063-1741
(888) 663-6331
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028616
CA
363L00000X
Nurse Practitioner
APRN-2328
HI
Other
Enumeration date
10/02/2017
Last updated
04/16/2024
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