Individual
AMY KATHERYNE TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W BONITA AVE STE 100, POMONA, CA 91767-1866
(909) 623-3428
Mailing address
210 W BONITA AVE STE 100, POMONA, CA 91767-1866
(909) 623-3428
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95027437
CA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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