Individual
MRS. CHRISTIANA CHIMA ANISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2112 S. GAREY AVE, SUITE C, POMONA, CA 91766-5600
(909) 464-0520
(909) 464-0523
Mailing address
14297 ANACAPA CT, FONTANA, CA 92336-3786
(909) 829-0802
(909) 464-0523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20398
CA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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