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Individual

VANESSA ANNE AGPAOA CONCINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2245
Mailing address
9300 VALLEY CHILDRENS PL # SC05, MADERA, CA 93636-8761
(559) 353-5700

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
45880
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A160759
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
M-1952
GU
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/05/2010
Last updated
03/01/2022
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