Individual
JACQUELINE NANCY CUEVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2143
Mailing address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2143
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
716096
CA
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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