Individual
LAURA ELISE HIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CHILDRENS ASSESSMENT CTR, 700 E GILBERT ST, SAN BERNARDINO, CA 92415-0001
(909) 382-3535
Mailing address
11234 ANDERSON ST, LLUMC ADVANCED PRACTICE SERVICES, LOMA LINDA, CA 92354
(909) 558-4486
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21348
CA
Other
Enumeration date
11/15/2011
Last updated
03/02/2017
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