Individual
MRS. GEORGIA DAMILO REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8437 KESTER AVE, PANORAMA CITY, CA 91402-2720
(818) 935-1210
Mailing address
8437 KESTER AVE, PANORAMA CITY, CA 91402-2720
(818) 935-1210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
704220
CA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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