MRS. LOU MIZELLE TANWANGCO, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1609993708

Practice Address

1906 COMMERCENTER E STE 100
San Bernardino, CA 92408

Phone: (909) 478-7776

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA17755 (CA)

Frequently Asked Questions

NPI 1609993708 is the National Provider Identifier for MRS. LOU MIZELLE TANWANGCO, PA-C, a Physician Assistant - Medical provider located in San Bernardino, CA. This NPI was enumerated on March 23, 2007.
MRS. LOU MIZELLE TANWANGCO, PA-C practices at 1906 COMMERCENTER E STE 100, San Bernardino, CA 92408.

Quick Facts

NPI
1609993708
Type
Individual
Enumerated
Mar 23, 2007
Last Updated
Dec 1, 2011

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