Individual
MARY SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25937 LAWTON AVE, LOMA LINDA, CA 92354-3838
(909) 419-6741
Mailing address
25937 LAWTON AVE, LOMA LINDA, CA 92354-3838
(909) 419-6741
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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