Individual
ERIC COUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2857 SHADOW CANYON CIR, NORCO, CA 92860-1147
(909) 200-5000
Mailing address
2857 SHADOW CANYON CIR, NORCO, CA 92860-1147
(909) 200-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
792087
CA
Other
Enumeration date
02/10/2015
Last updated
11/01/2021
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