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MR. FEDERICO GERARDO MALDONADO PA

Occupational Health >> Clinical Nurse Specialist >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1396937744

Individual Registrant:
MR. FEDERICO GERARDO MALDONADO PA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
15022 MULBERRY DR.  LAMIRADA, CA 90638 US
Tel: 562-946-5300  Fax: --

Contact information for business:
8117 WASHINGTON AVE  WHITTIER, CA 90602-2233 US
Tel: 562-690-8082  Fax: --

Registration Information:
NPI: 1396937744
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y364SX0106XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Occupational Health
CAPA10014

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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