Organization
AVIDA HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JURO CHRIST ENRIQUEZ ADEFUIN (CEO)
(562) 552-7775
Entity
Organization
Contact information
Practice address
222 N MOUNTAIN AVE STE 205, UPLAND, CA 91786-5714
(909) 333-7133
(909) 236-7989
Mailing address
222 N MOUNTAIN AVE STE 205, UPLAND, CA 91786-5714
(909) 333-7133
(909) 236-7989
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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