Individual
CIELITO BLANCO CAPISTRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4310 ORANGE ST, RIVERSIDE, CA 92501-3829
(951) 781-6335
(951) 781-6365
Mailing address
7341 FALL WAY, EASTVALE, CA 92880-1043
(951) 601-2299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22822
CA
Other
Enumeration date
05/10/2013
Last updated
03/13/2015
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