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Individual

MRS. MARIE ANTOINETTE MAGANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-RN, PMHNP-BC

Contact information

Practice address
34517 WINSLOW TER, FREMONT, CA 94555-3628
(630) 618-8868
Mailing address
34517 WINSLOW TER, FREMONT, CA 94555-3628
(630) 618-8868

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025285
CA

Other

Enumeration date
05/23/2023
Last updated
05/23/2023
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