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NPI Code Detail

MEDICARE: ROSE MARIE PANIAGUA

MEDICARE:   ROSE MARIE PANIAGUA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1518143924
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE MARIE PANIAGUA
Provider Business Mailing Address
First Line : 236 PORTER CT
Second Line :
City : WOODLAND
State : CA
Zip : 95695-6648
Country : US
Telephone Number : 530-400-5259
Fax Number :
Provider Business Practice Location Address
First Line : 804 COURT ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3517
Country : US
Telephone Number : 530-668-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2008
Last Update Date : 03/15/2021

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Directions to “ ROSE MARIE PANIAGUA ” Practice Location

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