person
Mrs. Lou Mizelle Delacruz Tanwangco, PA-C
Medical Physician Assistant in San Bernardino, California
NPI 1609993708

Lou Mizelle Delacruz Tanwangco is a Medical Physician Assistant based in Redlands, CA and is specialized in Medical. Lou Mizelle Delacruz Tanwangco practices in San Bernardino, CA and has the professional credentials of PA-C. The NPI Number for Lou Mizelle Delacruz Tanwangco is 1609993708 and holds a License No. PA17755 (California).

The current practice location address for Lou Mizelle Delacruz Tanwangco is 1906 Commercenter E Ste 100, San Bernardino, CA and can be reached out via phone at 909-478-7776 and via fax at 909-478-7768. You can also correspond with Lou Mizelle Delacruz Tanwangco through the mailing address at 491 S LA SALLE ST, REDLANDS, CA - 92374-6472 (mailing address contact number: 909-709-2045).

Location: 1906 Commercenter E Ste 100, San Bernardino, CA, 92374-6472
person
Provider Profile Details
NPI Number
1609993708
Provider Name
Lou Mizelle Delacruz Tanwangco
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1906 Commercenter E Ste 100, San Bernardino, CA, 92374-6472
Phone Number
909-478-7776
Fax Number
909-478-7768
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1906 Commercenter E Ste 100
City
State
Zip
92408-3423
Phone Number
909-478-7776
Fax Number
909-478-7768
person
Provider Business Mailing Address Details
Address
491 S La Salle St
City
State
Zip
92374-6472
Phone Number
909-709-2045
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA17755 (California)
Definition
Definition to come...
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