Individual
DIONICIA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N CARMELO AVE, PASADENA, CA 91107-3275
(626) 277-9621
Mailing address
315 N CARMELO AVE, PASADENA, CA 91107-3275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711237
CA
163W00000X
Registered Nurse
95000546
CA
363L00000X
Nurse Practitioner
Primary
1032931
TX
Other
Enumeration date
08/10/2014
Last updated
10/20/2022
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