Individual
ERNEST CASTIGADORGAYOMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
16724 STAGS LEAP LN, FONTANA, CA 92336-6127
(951) 258-4275
Mailing address
16724 STAGS LEAP LN, FONTANA, CA 92336-6127
(951) 258-4275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020470
CA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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