Organization
ELLEN MUSAKWA
Active
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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