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Kenneth Paolo Dagdag Lising, MSN,APRN,FNP-C
Family Nurse Practitioner in Fullerton, California
NPI 1003465105

Kenneth Paolo Dagdag Lising is a Family Nurse Practitioner based in Stanton, CA and is specialized in Family. Kenneth Paolo Dagdag Lising practices in Fullerton, CA and has the professional credentials of MSN,APRN,FNP-C. The NPI Number for Kenneth Paolo Dagdag Lising is 1003465105 and holds a License No. 95012739 (California).

The current practice location address for Kenneth Paolo Dagdag Lising is 2141 N Harbor Blvd Ste 25000, Fullerton, CA and can be reached out via phone at 714-626-8650.

Location: 2141 N Harbor Blvd Ste 25000, Fullerton, CA, 90680-8505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003465105
Provider Name
Kenneth Paolo Dagdag Lising
Credential
MSN,APRN,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
2141 N Harbor Blvd Ste 25000, Fullerton, CA, 90680-8505
Phone Number
714-626-8650
Fax Number
Provider Enumeration Date
09/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2141 N Harbor Blvd Ste 25000
City
Fullerton
State
California
Zip
92835-3830
Phone Number
714-626-8650
Fax Number
person
Provider Business Mailing Address Details
Address
2141 N Harbor Blvd Ste 25000
City
Fullerton
State
California
Zip
92835-3830
Phone Number
714-626-8650
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95012739 (California)
Definition
Definition to come...
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