Individual
IVY NJOLOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14248 SAN BENITO CT, FONTANA, CA 92336-3781
(909) 427-0218
Mailing address
14248 SAN BENITO CT, FONTANA, CA 92336-3781
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
450230
CA
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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