Individual
ANN SHERLY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
401 E HIGHLAND AVE, SUITE NO. 551, SAN BERNARDINO, CA 92404-3803
(909) 475-0935
Mailing address
1553 W CERES ST, RIALTO, CA 92376-6279
(909) 215-0803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004028
CA
Other
Enumeration date
04/06/2016
Last updated
07/23/2020
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