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Individual

DR. LIENIO FERREIRA DE SOUZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
26321 SANTIAGO CANYON RD, CORONA, CA 92883-5229
(562) 842-4390
Mailing address
26321 SANTIAGO CANYON RD, CORONA, CA 92883-5229
(562) 842-4390

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
95006696
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95006696
CA

Other

Enumeration date
05/11/2017
Last updated
04/03/2025
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