Individual
MR. JONATHAN MIGUEL FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN BSN
Contact information
Practice address
1214 HEATH ST, REDLANDS, CA 92374-4919
(909) 768-4222
Mailing address
34711 DATE ST, YUCAIPA, CA 92399-2715
(909) 768-4222
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
95176671
CA
Other
Enumeration date
09/21/2022
Last updated
09/23/2022
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