Search › California › 101YA0400X
Mingon Major Lance, RADT
NPI 1619726643 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1721 N Fairfax Dr Apt D
San Bernardino, CA 92404 - Phone
- (818) 305-1471
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California