Individual
GEORGE NUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17270 ROOSEVELT ST, RIVERSIDE, CA 92508-9523
(951) 683-6556
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KJGDRV
CA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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