Individual
ERICSON LOBUSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E FLORIDA AVE, HEMET, CA 92543-4335
(951) 391-1470
Mailing address
601 E FLORIDA AVE, HEMET, CA 92543-4335
(951) 391-1470
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
685437
CA
Other
Enumeration date
12/02/2016
Last updated
01/05/2022
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