Individual provider · Type 1 NPI
Mariejoy B. Supapo, BSN
Community Health Registered Nurse · Fairfield, CA
NPI number
1861559239
Active
Practice location
275 Beck Avenue Ms 5-240
Fairfield, CA 94533-6804
Fax (707) 435-2500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 607207 (CA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1861559239
Mariejoy B. Supapo, BSN's National Provider Identifier is 1861559239, issued on Jan 3, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.