RODEL LUMANOG

EL SEGUNDO, CA
NPI1124574819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95004859)
Enumeration Date2016-08-31
Last Update Date2019-10-24
Business Address
RODEL LUMANOG
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245-4749
Phone number: 323-628-8671
Mailing Address
RODEL LUMANOG
1521 VICTORY LN UNIT 1
CHULA VISTA, CA 91915-2670
Phone number: 619-395-7392
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