Individual
MS. TERESA BUSTOS CORIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1420 S MILLIKEN AVE, ONTARIO, CA 91761-2336
(909) 983-2020
(909) 988-4571
Mailing address
1420 S MILLIKEN AVE, ONTARIO, CA 91761-2336
(909) 983-2020
(909) 988-4571
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
314157
CA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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