Individual
EMORY D'AQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335
(951) 643-2340
Mailing address
8766 BOXWOOD CT, FONTANA, CA 92335-5027
(951) 202-9342
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
698682
CA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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