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Individual

MEDARD TOLENTINO SISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, PMHNP-BC

Contact information

Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 840-7628
Mailing address
4276 KATELLA AVE STE 220, LOS ALAMITOS, CA 90720-3562

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95008535
CA

Other

Enumeration date
02/03/2018
Last updated
10/14/2022
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