Individual
BUPE C MUSHILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
(626) 963-4467
(626) 963-9543
Mailing address
3400 INLAND EMPIRE BLVD STE 101, ONTARIO, CA 91764-5577
(909) 870-0160
(909) 870-0161
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025342
CA
Other
Enumeration date
05/29/2023
Last updated
04/04/2024
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