Individual
BELINDA ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 W 4TH ST STE B, PERRIS, CA 92570-2016
(951) 355-0030
(951) 420-5005
Mailing address
565 N MOUNT VERNON AVE, SAN BERNARDINO, CA 92411-2661
(909) 884-9091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95046461
CA
363LF0000X
Family Nurse Practitioner
Primary
95003812
CA
Other
Enumeration date
02/05/2016
Last updated
07/31/2020
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