Individual
ELIKEM FIAWOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
6944 ALDERWOOD DR, FONTANA, CA 92336-1831
(951) 897-5733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95441739
CA
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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