MARDON ROMULO ABESAMIS
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1982551925- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 25534 HURON ST, LOMA LINDA, CA, 923543721
- Phone
- (909) 809-1621
Specialties & Taxonomies
Registered Nurse
License: CA #95262145
Nurse Practitioner, Family
Primary License: CA #95039015
All Addresses
MAILING
25534 HURON ST
LOMA LINDA, CA, 923543721