Individual
MR. GARRY DENAQUE PACQUIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-4000
Mailing address
10535 HOSPITAL WAY, RANCHO CORDOVA, CA 95655-4200
(916) 366-5406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95103155
CA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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