Individual
CONNIE DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
49111 HWY 111, 4, COACHELLA, CA 92236
(760) 393-0555
Mailing address
44560 BUCKINGHAM ST, INDIO, CA 92201-2963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11124
CA
363LC1500X
Community Health Nurse Practitioner
PA11124
CA
Other
Enumeration date
01/03/2007
Last updated
03/29/2016
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