Individual
FALSTAFF REGIDOR BAGUINON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
935B SPRING ST, PLACERVILLE, CA 95667-4523
(530) 621-6210
Mailing address
6562 WYNDHAM DR APT 11, SACRAMENTO, CA 95823-4989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95243425
CA
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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