Individual
DR. STANLEY TITANG TIBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 344514
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.15133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094838
—
OH
Enumeration date
02/06/2010
Last updated
10/28/2016
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