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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