Individual
MRS. LORIE VIC AGBAYANI ACACIO-NOLASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3740
Mailing address
22 MEADOW LARK DR, MILFORD, DE 19963-3905
(213) 434-0250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711549
CA
163W00000X
Registered Nurse
Primary
L1-0045221
DE
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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