Individual
ENRIQUE VITUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
640 S SUNSET AVE STE 202, WEST COVINA, CA 91790-2808
(626) 480-8000
Mailing address
640 S SUNSET AVE STE 202, WEST COVINA, CA 91790-2808
(626) 480-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95031814
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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