Individual
KADI LYN PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
970 N. LATHAM ST, COLTON, CA 92324
(951) 374-2387
Mailing address
PO BOX 2003, COLTON, CA 92324-0809
(951) 374-2387
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279890
CA
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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