CHARLIEMAGNE ENGALLA PONCIANO

LOS ANGELES, CA
NPI1619491370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2279C0205X Respiratory Therapist, Registered, Critical Care
(Licence: CA  36079)
Enumeration Date2017-08-03
Last Update Date2022-07-21
Business Address
CHARLIEMAGNE ENGALLA PONCIANO
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-7928
Mailing Address
CHARLIEMAGNE ENGALLA PONCIANO
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-7928
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