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Organization

MENTAL WELLNESS PARTNERS

Active
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Organization

MENTAL WELLNESS PARTNERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PERCIVAL JOHN BALDRIAS NP (NURSE PRACTITIONER/CFO)
(909) 920-3171
Entity
Organization

Contact information

Practice address
820 N MOUNTAIN AVE STE 215, UPLAND, CA 91786-4163
(909) 920-3171
Mailing address
14617 WESTFIELD AVE, CHINO, CA 91710-1303
(909) 203-3523

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A12214
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP16510
CA

Other

Enumeration date
06/11/2018
Last updated
06/11/2018
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