Individual
ISIOMA UTEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST, BRAWLEY, CA 92227-2630
(760) 344-6471
Mailing address
900 MAIN ST, BRAWLEY, CA 92227-2630
(760) 344-6471
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002237
CA
Other
Enumeration date
03/11/2015
Last updated
03/14/2016
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