Tanwangco, Lou Mizelle Delacruz

Tanwangco, Lou Mizelle Delacruz is an sole proprietor health care provider with primary practice located at 1906 Commercenter E Ste 100 , San Bernardino CA 92408-3423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tanwangco, Lou Mizelle Delacruz can be contacted via phone (909) 478-7776.

Contact Information

Primary practice address
1906 Commercenter E Ste 100 San Bernardino CA 92408-3423
Phone: (909) 478-7776
Fax: (909) 478-7768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17755 California

Profile Details

NPI number 1609993708
LBN Legal business name Tanwangco, Lou Mizelle Delacruz
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Dec 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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