Individual
MARIA TUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15398 MAIN ST STE B, HESPERIA, CA 92345-3391
(760) 949-4118
(760) 949-0987
Mailing address
15398 MAIN ST STE B, HESPERIA, CA 92345-3391
(760) 949-4118
(760) 949-0987
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95000213
CA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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