Individual
ANWELL TIONGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-7336
Mailing address
668 S HALLIDAY ST, ANAHEIM, CA 92804-3131
(714) 803-4096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95024481
CA
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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