Organization
DOMINADOR MANSAT JR, A PROFESSIONAL NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINADOR MANSAT JR. FNP-C (CEO)
(909) 348-3067
Entity
Organization
Contact information
Practice address
1910 S ARCHIBALD AVE STE D, ONTARIO, CA 91761-8503
(909) 348-2556
(877) 615-1555
Mailing address
9415 RETREAT PL, RANCHO CUCAMONGA, CA 91730-9200
(909) 348-2556
(877) 615-1555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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