GERGETTE LOVE DATAN SACAY

LOMA LINDA, CA
NPI1700162575
Former NameGERGETTE LOVE CONDINO DATAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  21364)
Enumeration Date2011-10-25
Last Update Date2016-03-17
Business Address
Mrs. GERGETTE LOVE DATAN SACAY NP-C
11370 ANDERSON STREET SUITE 3600
LOMA LINDA, CA 92354-3130
Phone number: 909-558-2870
Mailing Address
Mrs. GERGETTE LOVE DATAN SACAY NP-C
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-2870
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