MILDREDE N BONGLACK MD
Individual Provider (NPI-1)
Active
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
Provider Information
- NPI Number
1134612013- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2210 E ILLINOIS AVE STE 408, FRESNO, CA, 937012184
- Phone
- (559) 443-2694
- Fax
- (559) 443-2696
Specialties & Taxonomies
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
Primary License: CA #A204492
Obstetrics & Gynecology
License: CA #A204492