Individual
ANDREA BUJANDA PANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
(626) 339-8601
Mailing address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
(626) 339-8601
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
724874
CA
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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