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Individual

ANTOINETTE ESTHER NOLASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.

Contact information

Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9425
(909) 421-9392
Mailing address
1950 S SUNWEST LN, SUITE 200, SAN BERNARDINO, CA 92415-2773
(909) 252-4017
(909) 252-4055

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/09/2009
Last updated
09/19/2012
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