Individual
JENNIFLOR PAULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 SAN BERNARDINO RD STE 102, UPLAND, CA 91786-4988
(909) 579-6721
Mailing address
1442 E 15TH ST, UPLAND, CA 91786-2435
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95015403
CA
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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