Individual
MR. DENNIS MABANAG CABANGCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
600 W I ST STE C, LOS BANOS, CA 93635-3460
(209) 710-4124
(209) 710-4131
Mailing address
600 W I ST STE C, LOS BANOS, CA 93635-3460
(209) 704-1189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95002406
CA
Other
Enumeration date
06/14/2015
Last updated
04/01/2020
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