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Individual

EMELDA MAKOCHI FONKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH

Contact information

Practice address
6605 COLFAX CT, RIVERSIDE, CA 92506-5650
(323) 563-4800
Mailing address
21205 PALA FOXIA PL, MORENO VALLEY, CA 92557-8615
(661) 361-3741

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
02/10/2021
Last updated
02/10/2021
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