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Individual

AIZZEL RAMAS TRIEU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3524 JACKFROST CT, RIVERSIDE, CA 92503-4500
(951) 496-7912
Mailing address
3524 JACKFROST CT, RIVERSIDE, CA 92503-4500
(951) 496-7912

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0416179
CA

Other

Enumeration date
01/13/2020
Last updated
01/13/2020
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