Individual
LIGAYA PALAGANAS FONTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 319-1310
Mailing address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(818) 298-9616
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
267163
CA
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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