Individual
KATRINA LUGTU DIJAMCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
7210 MURRAY DR, STOCKTON, CA 95210-3339
(209) 373-2800
Mailing address
15875 DEVONWOOD WAY, SAN LORENZO, CA 94580-1463
(510) 329-2222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95006275
CA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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