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Individual

RICHARD HERNANDEZ REGALADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
129 N 5TH ST, CHOWCHILLA, CA 93610-2820
(559) 665-0275
(559) 665-7126
Mailing address
129 N 5TH ST, CHOWCHILLA, CA 93610-2820
(559) 665-0275
(559) 665-7126

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10871
CA
363AM0700X
Medical Physician Assistant
Primary
PA10871
CA

Other

Enumeration date
06/27/2008
Last updated
12/20/2012
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