Individual
ADAOBI MAUREEN ADIMORAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3145
(909) 580-2165
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-3145
(909) 580-2165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
833377
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95021094
CA
Other
Enumeration date
02/28/2018
Last updated
12/06/2023
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