| NPI | 1083216881 |
|---|---|
| Former Name | MARIA C TANGONAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 10240933-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.1297740) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |