Individual
MRS. GLADYS NYAWIRA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3303 S ARCHIBALD AVE, APT I, ONTARIO, CA 91761-7944
(909) 657-3291
(909) 657-3291
Mailing address
3303 S ARCHIBALD AVE, APT I, ONTARIO, CA 91761-7944
(909) 657-3291
(909) 657-3291
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN212826
CA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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