person
Dominador Peralta Mansat JR., FNP-C
Family Nurse Practitioner in Ontario, California
NPI 1700500600

Dominador Peralta Mansat JR. is a Family Nurse Practitioner based in Rancho Cucamonga, CA and is specialized in Family. Dominador Peralta Mansat JR. practices in Ontario, CA and has the professional credentials of FNP-C. The NPI Number for Dominador Peralta Mansat JR. is 1700500600 and holds a License No. 95022872 (California).

The current practice location address for Dominador Peralta Mansat JR. is 1910 S Archibald Ave Ste D, Ontario, CA and can be reached out via phone at 909-348-2556 and via fax at 877-615-1555.

Location: 1910 S Archibald Ave Ste D, Ontario, CA, 91730-9200
person
Provider Profile Details
NPI Number
1700500600
Provider Name
Dominador Peralta Mansat JR.
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1910 S Archibald Ave Ste D, Ontario, CA, 91730-9200
Phone Number
909-348-2556
Fax Number
877-615-1555
Provider Enumeration Date
10/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1910 S Archibald Ave Ste D
City
State
Zip
91761-8503
Phone Number
909-348-2556
Fax Number
877-615-1555
person
Provider Business Mailing Address Details
Address
1910 S Archibald Ave Ste D
City
State
Zip
91761-8503
Phone Number
909-348-2556
Fax Number
877-615-1555
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95022872 (California)
Definition
Definition to come...
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