Individual
MR. EJERE OKORIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
815 S WILLOW AVE, RIALTO, CA 92376-6934
(909) 820-8150
Mailing address
25774 MESA CT, SAN BERNARDINO, CA 92404-3074
(909) 278-0543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95221316
CA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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