Individual
MRS. GRACE ENU CLERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35237 YUCAIPA BLVD, YUCAIPA, CA 92399-4340
(909) 790-6200
(909) 790-6220
Mailing address
35237 YUCAIPA BLVD, YUCAIPA, CA 92399-4340
(909) 790-6200
(909) 790-6220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95016640
CA
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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