Individual
SEGISMUNDO SENENSE MILLAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP - ADULT GERIATRIC
Contact information
Practice address
2041 W ORANGEWOOD AVE, ORANGE, CA 92868-1944
(714) 560-8177
Mailing address
14430 LONGWORTH AVE, NORWALK, CA 90650-4721
(562) 413-3918
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95007471
CA
363LG0600X
Gerontology Nurse Practitioner
95007471
CA
Other
Enumeration date
12/17/2017
Last updated
12/17/2017
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