Organization
ELLEN MUSAKWA
Active
Parent organization
ELLEN MUSAKWA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLEN MUSAKWA
Authorized official
ELLEN MUSAKWA FNP (FNP)
(951) 966-0193
Entity
Organization
Contact information
Practice address
4121 BROCKTON AVE, 104, RIVERSIDE, CA 92501-3442
(951) 778-0032
Mailing address
37657 BRUTUS WAY, BEAUMONT, CA 92223-8056
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
95003212
CA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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