PETER PAUL MUTYA BADUA

RANCHO CUCAMONGA, CA
NPI1043036429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95030226)
Enumeration Date2024-12-02
Last Update Date2024-12-02
Business Address
Mr. PETER PAUL MUTYA BADUA
10621 CHURCH ST STE 120
RANCHO CUCAMONGA, CA 91730-6834
Phone number: 909-944-0486
Mailing Address
Mr. PETER PAUL MUTYA BADUA
316 VIA NAPOLI
CATHEDRAL CITY, CA 92234-4189
Phone number: 818-519-5373