Individual
LORRAINE BRIDGET CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8265 W 2700 S, MAGNA, UT 84044-1323
(310) 497-5294
Mailing address
5632 W 8090 S APT B308, WEST JORDAN, UT 84081-5950
(310) 497-5294
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9145002-3102
UT
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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