VENASIO FAASOLO VAIPULU

RANCHO CUCAMONGA, CA
NPI1154165272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-06-24
Last Update Date2024-06-24
Business Address
VENASIO FAASOLO VAIPULU
10801 6TH ST
RANCHO CUCAMONGA, CA 91730-5977
Phone number: 951-283-6201
Mailing Address
VENASIO FAASOLO VAIPULU
8269 VERBENA DR
RIVERSIDE, CA 92504-2441
Phone number: 951-283-6201