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Individual

JOMAR DELA CRUZ DELIGUIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN, BSN, RNFA, CNOR

Contact information

Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(206) 526-4500
Mailing address
1552 ASPIRE WAY, MODESTO, CA 95356-8007
(480) 334-5945

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95234722
CA

Other

Enumeration date
02/14/2024
Last updated
02/14/2024
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