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Ezinwanyi Gift Mark
Psychiatric/Mental Health Nurse Practitioner in Riverside, California
NPI 1780374900

Ezinwanyi Gift Mark is a Psychiatric/Mental Health Nurse Practitioner based in Rancho Cucamonga, CA and is specialized in Psychiatric/Mental Health. Ezinwanyi Gift Mark practices in Riverside, CA. The NPI Number for Ezinwanyi Gift Mark is 1780374900 and holds a License No. 95023172 (California).

The current practice location address for Ezinwanyi Gift Mark is 9990 County Farm Rd, Riverside, CA and can be reached out via phone at 951-358-3610.

Location: 9990 County Farm Rd, Riverside, CA, 91730-3170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780374900
Provider Name
Ezinwanyi Gift Mark
Credential
Provider Entity Type
Individual
Gender
Female
Address
9990 County Farm Rd, Riverside, CA, 91730-3170
Phone Number
951-358-3610
Fax Number
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9990 County Farm Rd
City
Riverside
State
California
Zip
92503-3542
Phone Number
951-358-3610
Fax Number
person
Provider Business Mailing Address Details
Address
9990 County Farm Rd
City
Riverside
State
California
Zip
92503-3542
Phone Number
951-358-3610
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95023172 (California)
Definition
Definition to come...
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