Organization
MADELAINE AQUINO, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELAINE MABUNGA AQUINO M.D. (PRESIDENT)
(209) 943-6740
Entity
Organization
Contact information
Practice address
10200 TRINITY PKWY, SUITE 207, STOCKTON, CA 95219-7286
(209) 943-6740
(209) 943-6744
Mailing address
10200 TRINITY PKWY, SUITE 207, STOCKTON, CA 95219-7286
(209) 943-6740
(209) 943-6744
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
07-00087928
CA
Other
Enumeration date
05/01/2007
Last updated
03/07/2011
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