Individual
COMFORT DABERECHI OBINWANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16729 YARROW LN, FONTANA, CA 92336-6638
(909) 754-5890
Mailing address
16729 YARROW LN, FONTANA, CA 92336-6638
(909) 754-5890
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F01251104
CA
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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