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NPI Code Detail

MEDICARE: GRACE PAGARAN ZAMORANO FNP-C

MEDICARE: GRACE PAGARAN ZAMORANO FNP-C
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
1372500000XChore Provider95004316CA

General Provider Information

NPI Number : 1093167371
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE PAGARAN ZAMORANO FNP-C
Provider Business Mailing Address
First Line : 10535 FOOTHILL BLVD
Second Line : #270
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-3843
Country : US
Telephone Number : 323-627-3943
Fax Number :
Provider Business Practice Location Address
First Line : 10787 LAUREL ST
Second Line : #270
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-3828
Country : US
Telephone Number : 909-982-7741
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2016
Last Update Date : 07/11/2016

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Directions to “ GRACE PAGARAN ZAMORANO FNP-C” Practice Location

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