Individual
MRS. CLAUDIA BETH FAGILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
678 N WILSON WAY, STOCKTON, CA 95205-4272
(209) 446-2081
(209) 466-2083
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7532
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP 5510
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
NP5510
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
NP 5510
CA
Other
Enumeration date
08/31/2006
Last updated
07/25/2007
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