Individual
MICHELLE NOEMI MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(760) 831-0059
Mailing address
7630 DEER TRL, YUCCA VALLEY, CA 92284-3208
(760) 831-0059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95267808
CA
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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