Individual
ALEX MUTUKU KIVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1022 W BUTTERCUP LN, RIALTO, CA 92376-4873
(909) 323-2399
Mailing address
1022 W BUTTERCUP LN, RIALTO, CA 92376-4873
(951) 323-2399
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
779017
CA
Other
Enumeration date
12/27/2023
Last updated
05/14/2024
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