Individual
DR. MARIA THERESA PANLILIO SANICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
610 EUCLID AVE, STE. 304, NATIONAL CITY, CA 91950-2953
(619) 470-6800
(866) 232-7229
Mailing address
610 EUCLID AVE, STE. 304, NATIONAL CITY, CA 91950-2953
(619) 470-6800
(866) 232-7229
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E43030
—
CA
Enumeration date
09/20/2006
Last updated
08/24/2010
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