Edem, Mary

Edem, Mary is an individual health care provider with primary practice located at 190 E Highland Ave , San Bernardino CA 92404-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Edem, Mary can be contacted via phone (909) 882-4788.

Contact Information

Primary practice address
190 E Highland Ave San Bernardino CA 92404-3658
Phone: (909) 882-4788
Fax: (877) 860-7268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 20107 California

Profile Details

NPI number 1760787030
LBN Legal business name Edem, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Sep 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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