Individual
LORRAINE A VON DEAUXPLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1887 BUSINESS CENTER DR # 6A, SAN BERNARDINO, CA 92408-3463
(951) 333-4893
Mailing address
1887 BUSINESS CENTER DR # 6A, SAN BERNARDINO, CA 92408-3463
(951) 333-4893
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
7035076735
CA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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