Individual
DESTINY MICHELLE ESPINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 BONITA DR, COLTON, CA 92324-1707
(909) 522-8233
Mailing address
1124 BONITA DR, COLTON, CA 92324-1707
(909) 522-8233
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
290930
CA
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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