Individual
ROSEMARY OWUSU AGYEPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 MYERS ST, RIVERSIDE, CA 92503-5527
(951) 358-7923
Mailing address
13103 QUARTER HORSE DR, EASTVALE, CA 92880-3910
(909) 455-4663
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019550
CA
Other
Enumeration date
03/14/2022
Last updated
08/22/2022
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