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Individual

MRS. EDNA LOMIBAO SIAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
4501 X ST, SACRAMENTO, CA 95817-2229
(916) 734-5959
(916) 457-4542
Mailing address
1400 FARMGATE CIR, ROSEVILLE, CA 95747-4602
(916) 316-7219

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19368
CA

Other

Enumeration date
09/27/2009
Last updated
08/16/2018
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