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Individual

CHARO MEDROZO VITUG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5401 PAULARO WAY, ANTIOCH, CA 94531-5026
(252) 452-8199
Mailing address
5401 PAULARO WAY, ANTIOCH, CA 94531-5026
(252) 452-8199

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95020566
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95020566
CA

Other

Enumeration date
07/19/2024
Last updated
07/19/2024
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