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Individual

JONNA MAE PAULINE GIGANTE PAGADUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-3995
(619) 531-1434
Mailing address
566 STETSON DR, OAKDALE, CA 95361-8689
(209) 559-2804

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95157330
CA
163WC0400X
Case Management Registered Nurse
Primary
95157330
CA
163WC1500X
Community Health Registered Nurse
557348
CA

Other

Enumeration date
04/22/2019
Last updated
10/10/2024
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