Individual
ELLA PANGANIBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 ROOSEVELT BLVD APT 913, PHILADELPHIA, PA 19152-4123
(152) 452-1312
Mailing address
7600 ROOSEVELT BLVD APT 913, PHILADELPHIA, PA 19152-4123
(152) 452-1312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN789179
PA
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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