Dominador Mansat Jr, a Professional Nursing Corp
NPI #1972298180 in Ontario, California
Provider Information
- NPI Number
- 1972298180
- Entity Type
- Organization
- Organization Name
- Dominador Mansat Jr, a Professional Nursing Corp
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 5, 2023
- Last Updated
- Apr 5, 2023
Practice Location
- Address
- 1910 S ARCHIBALD AVE STE D
- City
- Ontario
- State
- California
- ZIP Code
- 91761-8503
- Phone
- (909) 348-2556
Authorized Official
- Name
- DOMINADOR MANSAT JR., FNP-C
- Title
- CEO
- Phone
- (909) 348-3067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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