Doctor Name: | MARIA FLORINA ALETH D MANGOSING IGNACIO |
NPI Number: | 1043498637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 16050 |
Business Practice Address: | 39000 Bob Hope Dr Rancho Mirage Rancho Mirage, CA - 922703221 |
Business Phone Number: | 7608378535 |
Business Fax Number: | |
Mailing Address: | 1900 S Palm Canyon Dr, Palm Springs PALM SPRINGS |
State: | CA |
Postal Code: | 922648945 |
Phone Number: | 7603205200 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2008 |
NPI Last Update Date: | 08/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 16050 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |