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Individual

ANA JULIA POPOCA-LOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(626) 577-2261
(626) 577-2543
Mailing address
5121 BAXTER ST, SAN DIEGO, CA 92117-1302
(858) 922-9991

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
524129
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12900
CA

Other

Enumeration date
08/16/2006
Last updated
06/23/2020
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