Individual
HANAGRY SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6767
(760) 736-8740
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6767
(760) 736-8740
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23240
CA
Other
Enumeration date
08/17/2013
Last updated
04/18/2018
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