Individual
AGNES CLAUDINE CECILE HENRY-CODORNIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4530 LANDEEN CT, RIVERSIDE, CA 92505-5107
(909) 499-7381
Mailing address
4530 LANDEEN CT, RIVERSIDE, CA 92505-5107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A107532
CA
Other
Enumeration date
03/05/2010
Last updated
11/03/2021
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