Individual
LUAMY GABRIELA CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4440 BROCKTON AVE STE 100, RIVERSIDE, CA 92501-4026
(951) 684-1293
Mailing address
24933 PROSPECT AVE, LOMA LINDA, CA 92354-2811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95000040
CA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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