Individual
MRS. MARIA ALEXIS AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 703-2716
Mailing address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 703-2716
Taxonomy
Speciality
Code
Description
License number
State
163WP0218X
Pediatric Oncology Registered Nurse
Primary
95269612
CA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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