Individual
DAVID MAWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP- C
Contact information
Practice address
10459 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354-2033
(909) 801-7077
Mailing address
15861 SQUARE TOP LN, FONTANA, CA 92336-4587
(347) 790-6170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95170178
CA
363LF0000X
Family Nurse Practitioner
Primary
95021560
CA
Other
Enumeration date
01/24/2022
Last updated
07/06/2022
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