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Individual

ERICK N WAHOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
3420 SPRING WHEAT ST, PERRIS, CA 92570-5670
(816) 739-3429
Mailing address
3420 SPRING WHEAT ST, PERRIS, CA 92570-5670
(816) 739-3429

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95090786
CA

Other

Enumeration date
06/21/2017
Last updated
11/29/2022
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