REGINA R BURGOS

STOCKTON, CA
NPI1194136754
Former NameREGINA VINEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95000624)
Enumeration Date2014-05-16
Last Update Date2020-09-29
Business Address
Ms. REGINA R BURGOS FNP
3132 W MARCH LN STE 5
STOCKTON, CA 95219-2354
Phone number: 209-475-5500
Mailing Address
Ms. REGINA R BURGOS FNP
3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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