Individual
NANCY BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 W H ST, ONTARIO, CA 91762-2722
(909) 226-5020
Mailing address
414 W H ST, ONTARIO, CA 91762-2722
(909) 226-5020
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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