VITALIS EGWIM

COLTON, CA
NPI1265068878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95014012)
Enumeration Date2020-03-14
Last Update Date2020-03-14
Business Address
VITALIS EGWIM
1699 E WASHINGTON ST APT 2246
COLTON, CA 92324-6460
Phone number: 443-742-8019
Mailing Address
VITALIS EGWIM
1699 E WASHINGTON ST APT 2246
COLTON, CA 92324-6460
Phone number: 443-742-8019
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