Most Relevant Information
Provider Data
| NPI Number: | 1003547175 |
| Provider Name: | MARICEL PANGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 95127250 |
Most Important Dates
| Enumeration Date: | 06/21/2022 |
| Last Updated: | 06/21/2022 |
Provider Practice Location
150 W ROUTE 66
GLENDORA
CA
917406207
Practice Location Phone/Fax
| Phone: | 6268525041 |
| Fax: |
Provider Mailing Location
226 N VINCENT AVE
WEST COVINA
CA
917902206
Provider Mailing Phone/Fax
| Phone: | 6262715328 |
| Fax: |