Individual
ADELAIDA A ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 INLAND EMPIRE BLVD STE 100, ONTARIO, CA 91764-5569
(909) 202-0001
Mailing address
3200 INLAND EMPIRE BLVD STE 100, ONTARIO, CA 91764-5569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95189053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95189053
WORK RELATED INJURIES
—
Enumeration date
07/21/2021
Last updated
07/21/2021
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