Individual
DANHILL JOSEPH PANGILINAN VIRGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4371 LATHAM ST, RIVERSIDE, CA 92501-1706
(833) 867-4642
Mailing address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57993
CA
Other
Enumeration date
06/08/2020
Last updated
02/08/2024
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