Individual
ANA REXY M MORTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7124 RAMONA AVE, RANCHO CUCAMONGA, CA 91701-5916
(909) 659-3433
Mailing address
2255 CAHUILLA ST APT 39, COLTON, CA 92324-4771
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
250130
CA
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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