Individual
DONNA PANGANIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1505 S D ST, SAN BERNARDINO, CA 92408-3200
(909) 388-5689
Mailing address
826 AMBER OAKS CIR, POMONA, CA 91767-2537
(909) 524-1585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86037189
CA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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