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Individual

MRS. MARY ANNE MADDIGAN ISRAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., M.S., PNP

Contact information

Practice address
1001 POTRERO AVENUE, BUILDING 5, #6M, SAN FRANCISCO, CA 94110-3518
(628) 206-8361
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
550528
CA

Other

Enumeration date
05/11/2007
Last updated
02/03/2023
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