Individual
FIDES MAY MAGTOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
945 S NATALIE LN, ANAHEIM, CA 92808-1438
(714) 390-7391
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95026216
CA
Other
Enumeration date
10/04/2023
Last updated
12/18/2023
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