Organization
AGELESS HEALTH GROUP, A PROFESSIONAL CORP NURSING
Active
Other names
Ageless Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA YENITZA RODRIGUES FNP-C (CEO)
(909) 435-4707
Entity
Organization
Contact information
Practice address
703 E E ST, ONTARIO, CA 91764-3820
(909) 435-4707
Mailing address
703 E E ST, ONTARIO, CA 91764-3820
(909) 435-4707
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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