Individual
MR. CARLOS F ELTAGUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3940 SANDPIPER AVE, MERCED, CA 95340-8372
(866) 682-4842
(209) 381-4109
Mailing address
1270 AVIGNON DR, MERCED, CA 95348-9547
(209) 388-9903
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95011295
CA
Other
Enumeration date
04/25/2019
Last updated
10/21/2021
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