HAWANATU FOFANAH

ONTARIO, CA
NPI1831561448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  14373)
Enumeration Date2015-10-21
Last Update Date2015-10-21
Business Address
HAWANATU FOFANAH NP
437 N EUCLID AVE
ONTARIO, CA 91762-3456
Phone number: 310-740-2122
Mailing Address
HAWANATU FOFANAH NP
11210 4TH ST APT.2119
RANCHO CUCAMONGA, CA 91730-6042
Phone number: 310-740-2122
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