Individual
KELLY ANNE ARCINIEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 382-3535
(909) 383-3830
Mailing address
11234 ANDERSON ST, LLUMC ROOM 6700-H, ADVANCED PRACTICE SERVICES, LOMA LINDA, CA 92354-2804
(909) 558-7320
(909) 558-7873
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19063
CA
Other
Enumeration date
02/17/2012
Last updated
01/08/2016
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