Individual
MRS. CECILIA RAQUEL ESCOBEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14362 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 315-6270
Mailing address
4003 N HARTLEY AVE, COVINA, CA 91722-3914
(626) 315-6270
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP95008219
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
NP95008219
CA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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