Individual
MS. BURNSHELL DENISE POMARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507-3970
(951) 385-4705
(951) 358-4719
Mailing address
769 W BLAINE ST, SUITE B, RIVERSIDE, CA 92507-3970
(951) 358-4705
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
244130
CA
Other
Enumeration date
01/12/2010
Last updated
12/09/2010
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