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NPI Code Detail

MEDICARE: MONICA MARIA CANZANO

MEDICARE:   MONICA MARIA CANZANO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse655102CA

General Provider Information

NPI Number : 1831827906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MARIA CANZANO
Provider Business Mailing Address
First Line : 2638 ALDER CREEK DR
Second Line :
City : ONTARIO
State : CA
Zip : 91761-0106
Country : US
Telephone Number : 909-762-7512
Fax Number :
Provider Business Practice Location Address
First Line : 1086 W ARROW HWY
Second Line :
City : SAN DIMAS
State : CA
Zip : 91773-2492
Country : US
Telephone Number : 909-305-1352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2022
Last Update Date : 08/08/2022

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Directions to “ MONICA MARIA CANZANO ” Practice Location

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