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Organization
SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
Active
Organization
SAN BERNARDINO COUNTY DEPARTMENT OF PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PANGANIBAN RDN (REGISTERED DIETITIAN)
(909) 524-1585
Entity
Organization
Contact information
Practice address
1505 SOUTH D STREET, SAN BERNARDINO, CA 92415
(909) 524-1585
Mailing address
826 AMBER OAKS CIRCLE, POMONA, CA 91767
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
86037189
CA
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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