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NPI Profile for ALEILA MONGE in PLYMOUTH, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
101YS0200X |
| NPI Number | 1164396149 |
|
| Status | Active | |
| Credentials | PPS | |
| Entity | Individual | |
| Enumeration date | 10/02/2025 | |
| Last updated | 10/02/2025 - About 8 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ALEILA MONGE
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ALEILA MONGE, PPS