ELLIS NINONUEVO

ORANGE, CA
NPI1679022750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: CA  RN 401698)
Enumeration Date2016-09-29
Last Update Date2016-09-29
Business Address
-- ELLIS NINONUEVO NP
1215 E CHAPMAN AVE
ORANGE, CA 92866-2237
Phone number: 714-583-6431
Mailing Address
-- ELLIS NINONUEVO NP
3942 ACACIA ST
IRVINE, CA 92606-2628
Phone number: 949-861-0316
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