Individual
NICOLETTE ELISE ZUNIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 RIVER RD, NORCO, CA 92860-2401
(315) 523-5276
Mailing address
13070 EDGEBROOK DR, CORONA, CA 92883-6367
(315) 523-5276
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA92190
—
CA
Enumeration date
09/22/2020
Last updated
09/22/2020
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