Individual
IVY TUASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13768 ROSWELL AVE, CHINO, CA 91710-1401
(909) 591-0844
Mailing address
9127 E RANCHO PARK CIR, RANCHO CUCAMONGA, CA 91730-5671
(909) 525-3125
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
12932
CA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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