Individual
MICHELLE PENUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5539
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5539
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
19462
CA
Other
Enumeration date
06/01/2010
Last updated
11/30/2021
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