Individual
ERICK DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 S WILLOW AVE, RIALTO, CA 92376-6934
(909) 820-8150
Mailing address
9817 OLIVE ST, BLOOMINGTON, CA 92316-2022
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95084736
CA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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