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Individual

TONNY MWANGANGI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11165 MICHAEL WAY, BEAUMONT, CA 92223
(951) 801-2138
Mailing address
11165 MICHAEL WAY, BEAUMONT, CA 92223-6255
(951) 801-2138

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
648795
CA

Other

Enumeration date
10/17/2014
Last updated
07/10/2018
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