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Maria Carmela A Detubio, MD

Family Medicine in Porterville, CA. Individual provider (NPI-1).

NPI number1447548458
StatusActive
Last updated in NPPESOct 23, 2015

Details

NPI
1447548458
Entity type
Individual (NPI-1)
Name
Maria Carmela A Detubio
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2011
Last updated
Oct 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine127878CAYes

Practice location

1107 W Poplar Ave
Porterville, CA 93257-5839

Phone 559-737-4700

Mailing address

305 E Center Ave
Visalia, CA 93291-6331

Phone 559-737-4700 · Fax 559-734-1247

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