BRITTANY LANG BONGGA

FONTANA, CA
NPI1902353451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95004741)
Enumeration Date2016-09-01
Last Update Date2022-04-25
Business Address
Mrs. BRITTANY LANG BONGGA NP
17051 SIERRA LAKES PKWY STE 101
FONTANA, CA 92336-1274
Phone number: 909-428-2040
Mailing Address
Mrs. BRITTANY LANG BONGGA NP
3400 DATA DR CREDENTIALING DEPARTMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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