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Individual

EILLEN SIMANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11927 ELLIOTT AVE, EL MONTE, CA 91732-3740
(909) 623-6651
Mailing address
279 E ARROW HWY STE 102, SAN DIMAS, CA 91773-3320
(909) 623-6651

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
113559
CA

Other

Enumeration date
01/30/2019
Last updated
01/30/2019
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