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Anthony I Odimegwu
Family Nurse Practitioner in Moreno Valley, California
NPI 1063938603

Anthony I Odimegwu is a Family Nurse Practitioner based in Moreno Valley, CA and is specialized in Family. Anthony I Odimegwu practices in Moreno Valley, CA. The NPI Number for Anthony I Odimegwu is 1063938603 and holds a License No. 95006412 (California).

The current practice location address for Anthony I Odimegwu is 26062 Bercaw Ct, Moreno Valley, CA and can be reached out via phone at 909-255-5786.

Location: 26062 Bercaw Ct, Moreno Valley, CA, 92555-1702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063938603
Provider Name
Anthony I Odimegwu
Credential
Provider Entity Type
Individual
Gender
Male
Address
26062 Bercaw Ct, Moreno Valley, CA, 92555-1702
Phone Number
909-255-5786
Fax Number
Provider Enumeration Date
08/16/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26062 Bercaw Ct
City
Moreno Valley
State
California
Zip
92555
Phone Number
909-255-5786
Fax Number
person
Provider Business Mailing Address Details
Address
26062 Bercaw Ct
City
Moreno Valley
State
California
Zip
92555
Phone Number
909-255-5786
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95006412 (California)
Definition
Definition to come...
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