Individual
RICHARD PAMPLONA TEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1481 WINDSOR DR, SAN BERNARDINO, CA 92404-5416
(909) 361-6472
(909) 203-7403
Mailing address
13803 CHAMPION WAY, EASTVALE, CA 92880-9012
(714) 875-4922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95191113
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
950285323
CA
Other
Enumeration date
10/29/2019
Last updated
05/07/2024
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