CHRISTIAN CUSTODIO

POMONA, CA
NPI1811502404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: CA  95015354)
Enumeration Date2020-09-10
Last Update Date2020-09-10
Business Address
CHRISTIAN CUSTODIO FNP
1196 N PARK AVE
POMONA, CA 91768-3027
Phone number: 909-623-4050
Mailing Address
CHRISTIAN CUSTODIO FNP
1196 N PARK AVE
POMONA, CA 91768-3027
Phone number: 909-623-4050
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