Individual
JOSE JESUS NORIEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 W FLORIDA AVE STE B, HEMET, CA 92543-4628
(951) 658-7122
Mailing address
1300 W FLORIDA AVE STE B, HEMET, CA 92543-4628
(951) 658-7122
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN712443
CA
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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