Individual
JACQUELINE TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
160 E HOLT AVE STE B, POMONA, CA 91767-5407
(951) 712-4548
Mailing address
623 E COLUMBIA AVE, POMONA, CA 91767-4029
(909) 525-5780
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
724862
CA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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