Individual
MRS. EBERECHI JOAN ANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
16672 ALMADEN DR, FONTANA, CA 92336-5121
(310) 462-2185
Mailing address
16672 ALMADEN DR, FONTANA, CA 92336-5121
(310) 462-2185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95005799
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95005799
CA
Other
Enumeration date
01/11/2017
Last updated
12/28/2021
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