is a Gerontology in Loma Linda, California. practices all healthcare services and medical treatments related to Gerontology. The NPI Number for is 1952510943. The last update date is .
's current location address is 11234 Anderson St Rm 6700h, Loma Linda, California. You can contact this provider via phone number 9095588514. The mailing address for is 11234 Anderson St Rm 6700h, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11234 Anderson St Rm 6700h, Loma Linda, California |
| Phone Number | 9095588514 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1952510943 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11234 Anderson St Rm 6700h |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 923542804 |
| Phone Number | 9095588514 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 375864 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7467 | CA | NP FURNISHING |
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