Individual
MRS. JILL ROSE URCIA CARIAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., BSN
Contact information
Practice address
2940 INLAND EMPIRE BLVD., ONTARIO, CA 91764
(909) 458-1350
(909) 579-8149
Mailing address
2940 INLAND EMPIRE BLVD, SUITE C, ONTARIO, CA 91764-4898
(909) 458-1350
(909) 579-8149
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN707130
CA
Other
Enumeration date
09/11/2013
Last updated
03/26/2015
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