Individual
ANGELINE AMANGO PAYANGDO-ALICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
3425 WILL SCARLET WAY, MODESTO, CA 95355-9299
(209) 501-5514
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN95289946
CA
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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