| Ellen Musakwa | |
|
4121 Brockton Ave 104 Riverside CA 92501-3442 | |
| (951) 778-0032 | |
| Not Available |
| Full Name | Ellen Musakwa |
|---|---|
| Speciality | Clinic/center |
| Location | 4121 Brockton Ave, Riverside, California |
| Authorized Official Name and Position | Ellen Musakwa (FNP) |
| Authorized Official Contact | 9519660193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Musakwa 37657 Brutus Way Beaumont CA 92223-8056 Ph: () - | Ellen Musakwa 4121 Brockton Ave 104 Riverside CA 92501-3442 Ph: (951) 778-0032 |
| NPI Number | 1255704276 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255704276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 95003212 (California) | Primary |
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