Masseray Bangura, PA
Physician Assistant in South Gate, CA. Individual provider (NPI-1).
NPI number1689213639
StatusActive
Last updated in NPPESDec 21, 2019
Details
- NPI
- 1689213639
- Entity type
- Individual (NPI-1)
- Name
- Masseray Bangura
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2019
- Certification date
- Dec 21, 2019
- Last updated
- Dec 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | CA | Yes |
Practice location
5158 Wood AveSouth Gate, CA 90280-5236
Phone 928-575-6995
Mailing address
5158 Wood AveSouth Gate, CA 90280-5236
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All 16 Physician Assistant providers in South Gate · All 695 providers in South Gate
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