Individual
CHARITY C EZEAMAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22635 ALESSANDRO BLVD STE A, MORENO VALLEY, CA 92553-8550
(951) 242-2226
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
02/12/2022
Last updated
11/16/2025
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