NPI 1013189307

Mimosa Tumang

Practitioner Registered Nurse Colton, CA

Practice location

Address: 400 N Pepper Ave, Colton, CA 92324-1801
Phone: (909) 580-1800

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 196166 (CA)

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Registry record

NPI: 1013189307
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2008
Record last updated: 27 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.