IDA A NIEUWENHUIZEN

FONTANA, CA
NPI1447327291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA11602)
Enumeration Date2006-11-29
Last Update Date2008-09-23
Business Address
IDA A NIEUWENHUIZEN PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
IDA A NIEUWENHUIZEN PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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