Individual
PARIS OBIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95226498
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024736
CA
Other
Enumeration date
12/17/2020
Last updated
04/15/2023
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