Individual
MRS. LIEZLE M AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 E WASHINGTON ST STE 155, COLTON, CA 92324-4196
(909) 370-2190
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
606141
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3568
CA
Other
Enumeration date
11/30/2007
Last updated
12/27/2021
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