Individual
MR. JONJON VIRTUSIO MACALINTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 775-3514
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20344
CA
Other
Enumeration date
11/03/2010
Last updated
11/13/2020
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