Individual
MRS. AGNES TAGORDA ALICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1801 E MARCH LN, STE C-320, STOCKTON, CA 95210-6629
(209) 957-5888
(209) 477-9339
Mailing address
1801 E MARCH LN, STE C-320, STOCKTON, CA 95210-6629
(209) 957-5888
(209) 477-9337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN585873
CA
163WC1500X
Community Health Registered Nurse
PHN69084
CA
363LF0000X
Family Nurse Practitioner
Primary
NP17392
CA
Other
Enumeration date
03/26/2008
Last updated
01/03/2022
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