Individual
MS. EDITHA DELA CRUZ CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
15723 PARKHOUSE DR, UNIT 104, FONTANA, CA 92336-6516
(626) 905-9682
(909) 320-8348
Mailing address
15723 PARKHOUSE DR, UNIT 104, FONTANA, CA 92336-6516
(626) 905-9682
(909) 320-8348
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 189740
CA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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