Individual
ALICIA DELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, RN
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95183489
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001076
CA
Other
Enumeration date
01/14/2019
Last updated
02/21/2019
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