Individual provider · Type 1 NPI

Soraya Mangondato

Gerontology Nurse Practitioner · San Francisco, CA

NPI number 1881755072 Active

Practice location

1333 Bush St
San Francisco, CA 94109-5611

Mailing address

405 Piccadilly Pl, 6
San Bruno, CA 94066-2082

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XNP 16166 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1881755072

Soraya Mangondato's National Provider Identifier is 1881755072, issued on Dec 12, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.