Individual
JERRY YDEL ABENGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3469 DURELLO CIR, RANCHO CORDOVA, CA 95670-6913
(916) 476-3555
Mailing address
3469 DURELLO CIR, RANCHO CORDOVA, CA 95670-6913
(916) 476-3555
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
342701204
CA
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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