Individual
AIRENE OLESCO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26501 MESA VISTA DRIVE, MENIFEE, CA 92584
(626) 290-4548
Mailing address
26501 MESA VIS, MENIFEE, CA 92584-2939
(626) 290-4548
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020124
CA
Other
Enumeration date
04/12/2022
Last updated
01/09/2026
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