SOPHIA BEYENE

RIALTO, CA
NPI1861454993
Former NameSOPHIA SELASSIE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A7687)
Enumeration Date2006-04-04
Last Update Date2023-08-01
Business Address
SOPHIA BEYENE DO
1851 N RIVERSIDE AVE
RIALTO, CA 92376-8069
Phone number: 909-421-2700
Mailing Address
SOPHIA BEYENE DO
PO BOX 12209
SAN BERNARDINO, CA 92423-2209
Phone number: 909-335-4188