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Individual

EUNICE EZINNE DIABUAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
405 W WINCHESTER DR, RIALTO, CA 92376-3304
(909) 644-7402
Mailing address
405 W WINCHESTER DR, RIALTO, CA 92376-3304
(909) 644-7402

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
698697
CA

Other

Enumeration date
09/26/2022
Last updated
09/26/2022
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