Individual
MR. ANDILE ANDY NDLELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHES
Contact information
Practice address
17296 SLOVER AVE, FONTANA, CA 92337-7585
(909) 609-3000
(909) 609-3015
Mailing address
17296 SLOVER AVE, FONTANA, CA 92337-7585
(909) 609-3000
(909) 609-3015
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
CHES 5196
CA
Other
Enumeration date
05/02/2017
Last updated
05/17/2017
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