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Individual

MS. EMMELINE DUMUK ABELLERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C, MSN

Contact information

Practice address
2505 W HAMMER LN, STOCKTON, CA 95209
(209) 954-3370
Mailing address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 521-6097

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPF12051
CA
363LF0000X
Family Nurse Practitioner
RN253501
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ20455Z
PIN NUMBER
CA
Enumeration date
12/27/2006
Last updated
07/02/2018
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