Individual
MRS. CONNIE DARLENE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4652 VALLE DEL SOL, BONSALL, CA 92003-5000
(760) 806-4870
(760) 806-4870
Mailing address
4652 VALLE DEL SOL, BONSALL, CA 92003-5000
(760) 806-4870
(760) 806-4870
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17719
CA
Other
Enumeration date
12/16/2006
Last updated
03/25/2016
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