Individual
MISS EDIMA BASSEY EFFIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
380 WIER RD, APT 7, SAN BERNARDINO, CA 92408-3865
(909) 465-3863
Mailing address
380 WIER RD, APT 7, SAN BERNARDINO, CA 92408-3865
(909) 465-3863
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN210743
CA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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