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Individual

DR. CONALU LIWAG BERNARDINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
4125 BANGS AVE, MODESTO, CA 95356-8713
(209) 557-1650
(209) 557-1786
Mailing address
4601 DALE ROAD, MODESTO, CA 95356-8713
(209) 557-1786
(209) 557-1682

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A140284
CA

Other

Enumeration date
08/09/2013
Last updated
05/26/2022
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