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Organization
VISITH PRIN MD A PROFESSIONAL CORP
Active
Organization
VISITH PRIN MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VISITH PRIROMPRINTR MD (OWNER)
(951) 924-1906
Entity
Organization
Contact information
Practice address
11441 HEACOCK ST STE B1, MORENO VALLEY, CA 92557-7907
(951) 924-1906
Mailing address
11441 HEACOCK ST STE B1, MORENO VALLEY, CA 92557-7907
(951) 924-1906
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A40164
CA
Other
Enumeration date
06/22/2010
Last updated
01/17/2012
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