Individual
MARIA FLORINA ALETH D MANGOSING IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, RANCHO MIRAGE, CA 92270-3221
(760) 837-8535
Mailing address
1900 S PALM CANYON DR, PALM SPRINGS, PALM SPRINGS, CA 92264-8945
(760) 320-5200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
16050
CA
363LX0106X
Occupational Health Nurse Practitioner
Primary
16050
CA
Other
Enumeration date
02/06/2008
Last updated
08/04/2008
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