| Doctor Name: | MS. MARYROSE DELGALLEGO CHUIDIAN |
| NPI Number: | 1144539024 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 02003738A |
| Business Practice Address: | 18th Medical Group Unit 5142 Apo, AP - 96368 |
| Business Phone Number: | 3156304780 |
| Business Fax Number: | |
| Mailing Address: | 501 Jane Ln, OAKLEY |
| State: | CA |
| Postal Code: | 945613998 |
| Phone Number: | 9252073789 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 07/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02003738A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |