Individual
AANTUU MENGISTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S G ST, SAN BERNARDINO, CA 92410-3320
(909) 382-7100
Mailing address
25619 PROSPECT AVE, LOMA LINDA, CA 92354-3169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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