JISHA PANGOTTIL

ONTARIO, CA
NPI1871073411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  NP95009215)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
JISHA PANGOTTIL
2295 S VINEYARD AVE
ONTARIO, CA 91761-7925
Phone number: 909-724-3940
Mailing Address
JISHA PANGOTTIL
2295 S VINEYARD AVE
ONTARIO, CA 91761-7925
Phone number: