Individual
REBECCA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
802 MAGNOLIA AVE, STE 205, CORONA, CA 92879-3104
(951) 739-5944
Mailing address
802 MAGNOLIA AVE, STE 205, CORONA, CA 92879-3104
(951) 739-5944
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95005977
CA
Other
Enumeration date
03/09/2017
Last updated
08/29/2017
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