Individual
JULIA FANUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 RAMONA EXPY STE 13, PERRIS, CA 92571-7014
(951) 349-4195
Mailing address
882 AMAYA DR, PERRIS, CA 92571-5110
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
712076
CA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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