Individual
EDELWEISS VON MAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
24785 STEWART ST STE 111, LOMA LINDA, CA 92350-1721
(909) 558-4594
(909) 558-0433
Mailing address
24785 STEWART ST., SUITE 101, LOMA LINDA, CA 92354
(909) 558-4594
(909) 558-0433
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60451797
WA
Other
Enumeration date
06/09/2014
Last updated
04/26/2019
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