Individual
SUSANA PALOMINO DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 W FRANCISQUITO AVE, WEST COVINA, CA 91790-4434
(626) 375-5607
Mailing address
1711 W FRANCISQUITO AVE, WEST COVINA, CA 91790-4434
(626) 375-5607
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
282986
CA
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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