MATTIANA SUSANA NG

GLENDALE, CA
NPI1932225976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CA  878)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  RN425028)
Enumeration Date2007-03-21
Last Update Date2017-05-31
Business Address
-- MATTIANA SUSANA NG CNM
1420 S CENTRAL AVE
GLENDALE, CA 91204-2508
Phone number: 818-502-4567
Mailing Address
-- MATTIANA SUSANA NG CNM
24307 MAGIC MOUNTAIN PARKWAY SUITE #145
VALENCIA, CA 91355-1808
Phone number: 661-618-4277