Individual
DESERAE KARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
125 W F ST, ONTARIO, CA 91762-3201
(909) 986-4550
Mailing address
125 W F ST, ONTARIO, CA 91762-3201
(909) 986-4550
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
730552
CA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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