Individual
IDORENYIN P MBEKE-EKANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6048 MIRA VISTA LN, FONTANA, CA 92336-5806
(909) 434-6602
Mailing address
6048 MIRA VISTA LN, FONTANA, CA 92336-5806
(909) 434-6602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95348559
CA
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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