Provider Demographics
NPI:1568856557
Name:SEGUBAN, PAULINE MARIEFEL (MD)
Entity type:Individual
Prefix:
First Name:PAULINE MARIEFEL
Middle Name:
Last Name:SEGUBAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3285 CLAREMONT WAY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3313
Mailing Address - Country:US
Mailing Address - Phone:707-258-2166
Mailing Address - Fax:
Practice Address - Street 1:1122 N HARRIS ST
Practice Address - Street 2:SUITE 105
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3785
Practice Address - Country:US
Practice Address - Phone:559-537-0224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program