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Organization

ATERNA WELLNESS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AHMAD GHANDOUR (CEO)
(313) 231-8354
Entity
Organization

Contact information

Practice address
16685 SIERRA LAKES PKWY STE 56, FONTANA, CA 92336-1255
(909) 347-0009
Mailing address
15670 PARRY PEAK DR, FONTANA, CA 92336-4640

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
07/30/2025
Last updated
07/30/2025
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