Individual
MRS. THERESA SUE ALDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
24869 RIVER OAK CT, WILDOMAR, CA 92595-7704
(951) 696-1980
Mailing address
462 NEWHALL DR, CORONA, CA 92879-1028
(951) 808-0212
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN217130
CA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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