VITALIS EGWIM

Nurse Practitioner

NPI: 1265068878IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

95014012(CA)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2019

Contact & Hours

Address: 1699 E WASHINGTON ST APT 2246
COLTON, CA 92324
Phone: (443) 742-8019

Location

Practice Location

1699 E WASHINGTON ST APT 2246, COLTON, CA

Quick Facts

NPI: 1265068878
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 7

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