Individual
EDELYN PANALIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1466 LINCOLN AVE, SAN RAFAEL, CA 94901-2021
(415) 457-3755
Mailing address
496 IRVINGTON ST, DALY CITY, CA 94014-1120
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
686859
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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