Individual
IMELDA GALANG MADRIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4516 THIRA WAY, ELK GROVE, CA 95758-5156
(916) 230-8222
Mailing address
4516 THIRA WAY, ELK GROVE, CA 95758-5156
(916) 230-8222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
682619
CA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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