Individual
MELANIE BUMANGLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 HAWTHORNE WAY, MILLBRAE, CA 94030-3017
(650) 689-5690
Mailing address
808 HAWTHORNE WAY, MILLBRAE, CA 94030-3017
(650) 689-5690
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
415600784
CA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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