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Annabelle Custodio, FNP
NPI 1679806145 · on the registry since 2009 · sole proprietor
Practice
- Address
- 9041 Magnolia Ave Ste 206
Riverside, CA 92503 - Phone
- (951) 354-0676
- Fax
- (951) 354-5786
- Organisation at this address
- 365 Mdcare Inc
Caring Pharmacy Inc
Jacknolia Urgent Care
Alonso R. Ojeda, M. D.
Luther Mangoba, Md Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California