Joachim Ikponmwosa Airen Valid NPI

Individual provider · Registered Nurse · Fontana, CA

NPI

1356078018

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

95171822 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2022-08-03

Last updated

2022-08-03