Deborah Andrada-Mamisay, RN
Registered Nurse, School in Ontario, CA. Individual provider (NPI-1).
NPI number1750196317
StatusActive
Last updated in NPPESFeb 11, 2025
Details
- NPI
- 1750196317
- Entity type
- Individual (NPI-1)
- Name
- Deborah Andrada-Mamisay
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2025
- Certification date
- Feb 11, 2025
- Last updated
- Feb 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | 498069 | CA | Yes |
Practice location
950 W D StOntario, CA 91762-3026
Phone 909-459-2500
Mailing address
950 W D StOntario, CA 91762-3026
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