Individual
THERESA ANNE CANGIALOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3833 WORSHAM AVE STE 301, LONG BEACH, CA 90808-1766
(562) 595-5479
(562) 988-7616
Mailing address
918 EMERALD ST, REDONDO BEACH, CA 90277-3261
(310) 697-6833
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
9281
CA
Other
Enumeration date
08/02/2011
Last updated
06/12/2024
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