Individual
ALLISON NICOLE REDONDO LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 E GUASTI RD, ONTARIO, CA 91761-1219
(626) 373-5784
Mailing address
3110 E GUASTI RD, ONTARIO, CA 91761-1219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
829453
CA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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