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Nantiya Dangidang, Lvn

Licensed Vocational Nurse in Hesperia, CA. Individual provider (NPI-1).

NPI number1003379652
StatusActive
Last updated in NPPESApr 10, 2019

Details

NPI
1003379652
Entity type
Individual (NPI-1)
Name
Nantiya Dangidang
Credential
Lvn
Sex
Female
Sole proprietor
No
Enumeration date
Apr 10, 2019
Last updated
Apr 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational NurseVN275981CAYes

Practice location

11776 Mariposa Rd # 103
Hesperia, CA 92345-1622

Phone 760-956-2462 · Fax 760-956-7542

Mailing address

11776 Mariposa Rd # 103
Hesperia, CA 92345-1622

Phone 760-956-2462 · Fax 760-956-7542

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