EDELWEISS VON MAACK

LOMA LINDA, CA
NPI1093128860
Former NameEDELWEISS WHITSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: WA  AP60451797)
Enumeration Date2014-06-09
Last Update Date2019-04-26
Business Address
EDELWEISS VON MAACK NP-C
24785 STEWART ST STE 111
LOMA LINDA, CA 92350-1721
Phone number: 909-558-4594
Mailing Address
EDELWEISS VON MAACK NP-C
24785 STEWART ST. SUITE 101
LOMA LINDA, CA 92354
Phone number: 909-558-4594