Individual
ROGELYNE DELA CRUZ URSUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(877) 558-6248
Mailing address
10981 SCARLET ST, LOMA LINDA, CA 92354-6114
(203) 540-7736
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
95001517
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001517
CA
Other
Enumeration date
03/18/2021
Last updated
05/05/2022
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