Individual
MRS. HERMA JOEY ECHAVEZ BAG-AO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
701 PLEASANT GROVE BLVD STE 125, ROSEVILLE, CA 95678-6194
(916) 784-7700
Mailing address
701 PLEASANT GROVE BLVD, STE 125, ROSEVILLE, CA 95678-6194
(630) 915-3467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010586
CA
Other
Enumeration date
01/08/2019
Last updated
12/10/2019
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