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Individual

CURTIS LEE RHODES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
Mailing address
11852 MOUNT VERNON AVE APT T543, GRAND TERRACE, CA 92313-8207
(909) 754-6617

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
673838
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
673838
RN LICENSE
CA
Enumeration date
08/18/2022
Last updated
08/18/2022
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