MARK CHRISTIAN SAMPANG

CERRITOS, CA
NPI1609224708
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95004292)
Enumeration Date2016-05-31
Last Update Date2017-01-03
Business Address
-- MARK CHRISTIAN SAMPANG
19706 RAY CIR
CERRITOS, CA 90703-7546
Phone number: 562-805-8229
Mailing Address
-- MARK CHRISTIAN SAMPANG
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703-9329
Phone number: 562-207-0139