Individual
SUSANA FOLARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35973 AVRY WAY, WILDOMAR, CA 92595-7962
(281) 736-6316
Mailing address
35973 AVRY WAY, WILDOMAR, CA 92595-7962
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
683339
CA
163WP0200X
Pediatric Registered Nurse
683339
CA
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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