Individual
JUAN LUIS MADRIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 N 9TH ST, MODESTO, CA 95350-5814
(209) 252-5300
(209) 558-4586
Mailing address
500 N 9TH ST, MODESTO, CA 95350-5814
(209) 525-5300
(209) 558-4586
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95027548
CA
Other
Enumeration date
05/30/2023
Last updated
06/01/2023
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