Individual
CHERRY PANDONGIT LIWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5202 UNIVERSITY AVE, SAN DIEGO, CA 92105-2268
(619) 229-5430
Mailing address
1202 E 6TH ST APT 2, NATIONAL CITY, CA 91950-2555
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95111084
CA
Other
Enumeration date
11/16/2022
Last updated
11/17/2022
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