Organization · Type 2 NPI

Dominador Mansat Jr, A Professional Nursing Corp

Family Nurse Practitioner · Ontario, CA

NPI number 1972298180 Active

Practice location

1910 S Archibald Ave Ste D
Ontario, CA 91761-8503

Fax (877) 615-1555

Mailing address

9415 Retreat Pl
Rancho Cucamonga, CA 91730-9200

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1972298180

Dominador Mansat Jr, A Professional Nursing Corp's National Provider Identifier is 1972298180, issued on Apr 5, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ontario, CA. The record was last updated on Apr 5, 2023.