Individual
TERESA MAGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1503 E MARCH LN STE A, STOCKTON, CA 95210-5622
(209) 462-7277
(866) 950-0134
Mailing address
PO BOX 1434, LODI, CA 95241-1434
(209) 462-7277
(866) 950-0134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11924
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
11924
CA
Other
Enumeration date
10/12/2006
Last updated
03/28/2022
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