Individual
JUDY K RACINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
25455 BARTON RD, SUITE 102B, LOMA LINDA, CA 92354-3128
(909) 558-2808
Mailing address
25455 BARTON RD, SUITE 102B, LOMA LINDA, CA 92354-3128
(909) 558-2808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP10548
CA
Other
Enumeration date
07/10/2006
Last updated
05/17/2016
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