Individual
ASHLEY PANGANIBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 E FERN AVE STE A, REDLANDS, CA 92373-4000
(909) 792-6066
Mailing address
16 E FERN AVE STE A, REDLANDS, CA 92373-4000
(909) 792-6066
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL6972
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2022
Last updated
08/24/2023
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