Individual
AKUA A BIRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17719 ROBUSTA DR, RIVERSIDE, CA 92503-7070
(951) 313-2265
Mailing address
17719 ROBUSTA DR, RIVERSIDE, CA 92503-7070
(951) 313-2265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
245024
CA
Other
Enumeration date
03/23/2012
Last updated
02/12/2013
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