Individual
CORINA AGUSTIN CHIUCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, FNP-C
Contact information
Practice address
582 E HARDING WAY, STOCKTON, CA 95204-6110
(209) 442-6077
(844) 613-2920
Mailing address
582 E HARDING WAY, STOCKTON, CA 95204-6110
(209) 442-6077
(844) 548-3818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95031064
CA
Other
Enumeration date
07/11/2024
Last updated
07/19/2026
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