Malasan, Maria Theresa Madueno

Malasan, Maria Theresa Madueno is an individual health care provider with primary practice located at 138 Eagle Ct , Hercules CA 94547-1634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Malasan, Maria Theresa Madueno can be contacted via phone (707) 315-0710.

Contact Information

Primary practice address
138 Eagle Ct Hercules CA 94547-1634
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95000525 California

Profile Details

NPI number 1639555691
LBN Legal business name Malasan, Maria Theresa Madueno
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2015
Last updated Jul 31st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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