Individual
YULIAWATI ENOMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 900-7681
Mailing address
5900 BROCKTON AVE, RIVERSIDE, CA 92506-1862
(951) 275-8400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95038271
CA
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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