Individual
JUAN REGALADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7726 DERBY RUN, SELMA, TX 78154-3937
(309) 533-0258
Mailing address
7726 DERBY RUN, SELMA, TX 78154-3937
(309) 533-0258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1184550
TX
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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