ROSETTE ADEGBE

CORONA, CA
NPI1790193472
Other NameROSETTE ADEGBE
Entity TypeOrganization
Authorized ContactROSETTE JONATHAN ADEGBE
Fnp
323-806-5783
Organization Subpart ?Yes
Primary Taxonomy261QA0600X Clinic/Center Adult Day Care
(Licence: CA  F0714839)
Additional Taxonomies261QE0002X Clinic/Center Emergency Care
273Y00000X Rehabilitation Unit
(Licence: CA  F0714839)
302R00000X Health Maintenance Organization
(Licence: CA  F0714829)
311ZA0620X Custodial Care Facility Adult Care Home
(Licence: CA  F0714839)
363LF0000X Nurse Practitioner Family
Enumeration Date2014-07-26
Last Update Date2014-07-26
Business Address
ROSETTE ADEGBE
1084 FLAGER RANCH RD
CORONA, CA 92881-4730
Phone number: 951-549-6912
Mailing Address
ROSETTE ADEGBE
1084 FLAGER RANCH RD
CORONA, CA 92881-4730
Phone number: 951-549-6912