ANTHONY I ODIMEGWU

MORENO VALLEY, CA
NPI1063938603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006412)
Enumeration Date2017-08-16
Last Update Date2022-07-21
Business Address
ANTHONY I ODIMEGWU
26062 BERCAW CT
MORENO VALLEY, CA 92555
Phone number: 909-255-5786
Mailing Address
ANTHONY I ODIMEGWU
26062 BERCAW CT
MORENO VALLEY, CA 92555-1702
Phone number: 909-255-5786