Individual
SELAM W HAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7983 HEMINGWAY CT, FONTANA, CA 92336-5492
(323) 603-1885
Mailing address
7983 HEMINGWAY CT, FONTANA, CA 92336-5492
(323) 603-1885
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95298359
CA
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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