LOU MIZELLE DELACRUZ TANWANGCO

SAN BERNARDINO, CA
NPI1609993708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA17755)
Enumeration Date2007-03-23
Last Update Date2011-12-01
Business Address
Mrs. LOU MIZELLE DELACRUZ TANWANGCO PA-C
1906 COMMERCENTER E STE 100
SAN BERNARDINO, CA 92408-3423
Phone number: 909-478-7776
Mailing Address
Mrs. LOU MIZELLE DELACRUZ TANWANGCO PA-C
491 S LA SALLE ST
REDLANDS, CA 92374-6472
Phone number: 909-709-2045
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