Individual
CONNIE AGABIN MONTEFALCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45617 CLASSIC WAY, TEMECULA, CA 92592-6032
(619) 246-9539
Mailing address
45617 CLASSIC WAY, TEMECULA, CA 92592-6032
(619) 246-9539
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95010651
CA
Other
Enumeration date
12/22/2018
Last updated
12/22/2018
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