Individual
MARICEL PANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 W ROUTE 66, GLENDORA, CA 91740-6207
(626) 852-5041
Mailing address
226 N VINCENT AVE, WEST COVINA, CA 91790-2206
(626) 271-5328
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95127250
CA
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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