Individual
REMEDIOS BANGALAN LIWAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,PHN
Contact information
Practice address
690 OXFORD ST, CHULA VISTA, CA 91911-7111
(619) 409-3130
Mailing address
1056 FUCHSIA LN, SAN DIEGO, CA 92154-2647
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN499593
CA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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