Individual
MS. CAMILLE TINA BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
10600 MOUNTAIN VIEW AVE, APT I, REDLANDS, CA 92373-8446
(909) 831-4452
Mailing address
10600 MOUNTAIN VIEW AVE, APT I, REDLANDS, CA 92373-8446
(909) 831-4452
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 216031
CA
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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