Individual
MRS. JHO MARY TANGCORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC, CCRN
Contact information
Practice address
1520 SAN PABLO ST FL 1, LOS ANGELES, CA 90033-5310
(323) 442-8682
Mailing address
P.O. BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-8682
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95006373
CA
Other
Enumeration date
05/18/2017
Last updated
09/14/2021
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