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Individual

CORY MICHAEL LAYVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
1025 DOUGLAS ST, CALIMESA, CA 92320-1437

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95020964
CA

Other

Enumeration date
05/17/2022
Last updated
05/17/2022
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