Marie Anne Cho, Nurse Practitioner
Nurse Practitioner, Family in Fontana, CA. Individual provider (NPI-1).
NPI number1265562425
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265562425
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marie Anne Cho
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 259042 | CA | Yes |
Practice location
9961 Sierra AveFontana, CA 92335-6720
Phone 909-427-7172
Mailing address
24946 Huron StLoma Linda, CA 92354-3421
Phone 909-796-0144
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