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Individual

IRIS DICHUPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
75 NIELSON ST, WATSONVILLE, CA 95076-2468
(831) 724-4741
Mailing address
2041 EAST ST STE 1377, CONCORD, CA 94520-2126
(831) 244-0111

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000885
CA

Other

Enumeration date
03/08/2018
Last updated
09/24/2025
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