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Ellen Musakwa
Clinic/Center in Riverside, California
NPI 1255704276

Ellen Musakwa is a Clinic/Center based in Beaumont, CA. Ellen Musakwa practices in Riverside, CA. The NPI Number for Ellen Musakwa is 1255704276 and holds a License No. 95003212 (California).

The current practice location address for Ellen Musakwa is 4121 Brockton Ave, Riverside, CA and can be reached out via phone at 951-778-0032.

Location: 4121 Brockton Ave, Riverside, CA, 92223-8056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255704276
Provider Name
Ellen Musakwa
Credential
Provider Entity Type
Organization
Address
4121 Brockton Ave, Riverside, CA, 92223-8056
Phone Number
951-778-0032
Fax Number
Provider Enumeration Date
11/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4121 Brockton Ave
City
Riverside
State
California
Zip
92501-3442
Phone Number
951-778-0032
Fax Number
person
Provider Business Mailing Address Details
Address
4121 Brockton Ave
City
Riverside
State
California
Zip
92501-3442
Phone Number
951-778-0032
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
95003212 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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