Ms Cennyana Boon, NP | |
11364 Havstad Dr, Loma Linda, CA 92354-4149 | |
(310) 467-9661 | |
Not Available |
Full Name | Ms Cennyana Boon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 11364 Havstad Dr, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295412260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95024454 (California) | Primary |
Entity Name | Future Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538809033 PECOS PAC ID: 7315329109 Enrollment ID: O20220726001859 |
Mailing Address | Practice Location Address |
---|---|
Ms Cennyana Boon, NP 11364 Havstad Dr, Loma Linda, CA 92354-4149 Ph: (310) 467-9661 | Ms Cennyana Boon, NP 11364 Havstad Dr, Loma Linda, CA 92354-4149 Ph: (310) 467-9661 |
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Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354 Phone: 909-558-5844 Fax: 909-558-7873 | |
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