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Individual

MRS. CHERYL ANN EMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16455 MAIN ST, HESPERIA, CA 92345-3554
(760) 947-2161
(760) 947-3673
Mailing address
685 CARNEGIE DR, SUITE 230, SAN BERNARDINO, CA 92408-3502
(909) 890-0407
(909) 890-0575

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G55837
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G558370
MEDI-CAL
CA
Enumeration date
10/11/2006
Last updated
11/15/2012
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