Individual
DR. MADELAINE MABUNGA AQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10200 TRINITY PKWY, SUITE 207, STOCKTON, CA 95219-7286
(209) 943-6740
(209) 943-6744
Mailing address
10200 TRINITY PKWY, SUITE 207, STOCKTON, CA 95219-7286
(209) 943-6740
(209) 943-6744
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A85500
CA
Other
Enumeration date
11/02/2006
Last updated
04/19/2013
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