Individual
MRS. ESTHER PHILLIPS AGEPOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9301 CENTRAL AVE., MONTCLAIR, CA 91763
(909) 621-5005
(909) 621-4900
Mailing address
9301 CENTRAL AVE. #201, MONTCLAIR, CA 91763
(909) 621-5005
(909) 621-4900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A17513
CA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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