Nyla J Raponi, PA
Physician Assistant in Fontana, CA. Individual provider (NPI-1).
NPI number1245307008
StatusActive
Last updated in NPPESNov 29, 2021
Details
- NPI
- 1245307008
- Entity type
- Individual (NPI-1)
- Name
- Nyla J Raponi
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Nov 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA14718 | CA | Yes |
Practice location
9961 Sierra AveFontana, CA 92335-6720
Phone 909-427-3910
Mailing address
9961 Sierra AveFontana, CA 92335-6720
Phone 909-427-3910
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