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MRS. INEZ JUNE EZEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
1638 HEARTLAND WAY, CORONA, CA 92881-4186
(714) 420-9554

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
640168
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95028086
CA

Other

Enumeration date
02/14/2022
Last updated
02/07/2024
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