JAMES ROBERT ETTELDORF

LOMA LINDA, CA
NPI1164559761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  10542)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
Mr. JAMES ROBERT ETTELDORF N.P.
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-8514
Mailing Address
Mr. JAMES ROBERT ETTELDORF N.P.
2242 BLACK OAK PL
RIVERSIDE, CA 92506-4603
Phone number: 951-686-1146
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