Individual
GUADALUPE SELENE SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16675 VIA PAMPLONA, MORENO VALLEY, CA 92551-2178
(951) 570-6800
Mailing address
16675 VIA PAMPLONA, MORENO VALLEY, CA 92551-2178
(951) 570-6800
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
269509
CA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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