Individual
BERREMY MARS MULINGTAPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2981 BERKSHIRE DR, SAN BRUNO, CA 94066-1755
(408) 221-5674
Mailing address
2981 BERKSHIRE DR, SAN BRUNO, CA 94066-1755
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
—
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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