Individual
MAIA NICOLE DINGLASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
490 POST ST STE 530, SAN FRANCISCO, CA 94102-1412
(000) 000-0000
Mailing address
1811 WELFORD LN, HAYWARD, CA 94544-6798
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
10/20/2021
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