Martha Mulugeta NP

NPI 1649470758 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1649470758
Gender Male
Enumeration Date 07/18/2007
Last Updated 07/18/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1433 W MERCED AVE
103
WEST COVINA CA, 91790-3402, US
Phone (626) 337-8000
Fax (626) 337-1145
Business Location
1433 W MERCED AVE
103
WEST COVINA CA, 91790-3402, US
Phone (626) 337-8000
Fax (626) 337-1145
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 9643
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According to our database, Martha Mulugeta NP NPI is 1649470758, taxonomy code is 363LF0000X and license number is 9643, license state is located at California. Martha Mulugeta NP physically located at 1433 W Merced Ave, West Covina CA, 91790-3402. NPI Number Martha Mulugeta NP has the Individual type.

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1649470758 NPI number is provided on an as is basis without warranty of any kind. 1649470758 is maintained by the National Plan & Provider Enumeration System. The contents of Martha Mulugeta NP are for informational purposes only.