Registry details
Type
Organization
Primary specialty
Nurse Practitioner
Enumerated
Sep 6, 2023
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4441 OWENS ST UNIT 105 | Corona, CA 92883-7393 | 562-682-8577 |
| MAILING | 11762 DE PALMA RD STE 1C | Corona, CA 92883-4010 | 562-682-8577 |
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