Individual
JEANETTE CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1889 W REDLANDS BLVD, REDLANDS, CA 92373-3119
(909) 501-5167
Mailing address
874 S BEECHWOOD AVE, RIALTO, CA 92376-6875
(909) 562-9071
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
696205
CA
Other
Enumeration date
08/26/2020
Last updated
09/23/2021
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