ELLEN MUSAKWA

RIVERSIDE, CA
NPI1255704276
Entity TypeOrganization
Authorized ContactELLEN MUSAKWA
Fnp
951-966-0193
Organization Subpart ?Yes
Primary Taxonomy261Q00000X 
(Licence: CA  95003212)
Enumeration Date2015-11-13
Last Update Date2015-11-13
Business Address
ELLEN MUSAKWA
4121 BROCKTON AVE 104
RIVERSIDE, CA 92501-3442
Phone number: 951-778-0032
Mailing Address
ELLEN MUSAKWA
37657 BRUTUS WAY
BEAUMONT, CA 92223-8056
Phone number: