Individual
AMISI MAGNE MORISHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.P.
Contact information
Practice address
37097 WINGED FOOT RD, BEAUMONT, CA 92223-8012
(909) 800-9072
Mailing address
37097 WINGED FOOT RD, BEAUMONT, CA 92223-8012
(909) 800-9072
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
582329
CA
363LP2300X
Primary Care Nurse Practitioner
20745
CA
Other
Enumeration date
01/28/2013
Last updated
06/25/2021
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