Individual
ELIZABETH SUGAPONG ESTRADA-FEDERIZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
38350 40TH ST E, SUITE 100, PALMDALE, CA 93552-3075
(661) 272-5001
Mailing address
43244 FANCHON AVE, LANCASTER, CA 93536-1357
(661) 940-9321
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
A051630
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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