Individual
ALICE CORPUZ FAMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1320 E MADISON AVE, EL CAJON, CA 92021-8531
(619) 456-9800
Mailing address
2417 PASEO LOS GATOS, CHULA VISTA, CA 91914-4431
(619) 395-0300
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG12240042
CA
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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