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Organization

WOUND ICONS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNICE IVOKO (ADMINISTRATOR)
(562) 824-5099
Entity
Organization

Contact information

Practice address
9087 ARROW RTE STE 246, RANCHO CUCAMONGA, CA 91730-4488
(562) 824-5099
(909) 784-0617
Mailing address
9087 ARROW RTE STE 246, RANCHO CUCAMONGA, CA 91730-4488
(562) 824-5099
(909) 784-0617

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
09/05/2024
Last updated
09/05/2024
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