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Lou Mizelle Tanwangco, PA-C

NPI 1609993708 · on the registry since 2007 · sole proprietor

Practice

Address: 1906 Commercenter E Ste 100
San Bernardino, CA 92408
Phone: (909) 478-7776
Fax: (909) 478-7768
Organisation at this address: Orion Language Solutions
Empire Medical Group, Inc
Strive Logopedics Center Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Medical Physician Assistant
363AM0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California