Individual
MR. ACE MONZON KAMANTIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
10571 PONDEROSA CIR, SANTA FE SPRINGS, CA 90670-3866
(714) 747-1830
(562) 944-1869
Mailing address
10571 PONDEROSA CIR, SANTA FE SPRINGS, CA 90670-3866
(714) 747-1830
(562) 944-1869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720659
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006726
CA
Other
Enumeration date
06/22/2016
Last updated
07/21/2022
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