Individual
JEROME PANGILINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1634 CHIANTI LN, SANTA MARIA, CA 93458-6325
(805) 621-6054
Mailing address
1634 CHIANTI LN, SANTA MARIA, CA 93458-6325
(805) 621-6054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8566
CA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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