Individual
MATTIANA SUSANA NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1420 S CENTRAL AVE, GLENDALE, CA 91204-2508
(818) 502-4567
(818) 502-4568
Mailing address
24307 MAGIC MOUNTAIN PARKWAY, SUITE #145, VALENCIA, CA 91355-1808
(661) 618-4277
(760) 646-9719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN425028
CA
367A00000X
Advanced Practice Midwife
Primary
878
CA
Other
Enumeration date
03/21/2007
Last updated
05/31/2017
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