Individual
ANTHONY SIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
Mailing address
27775 BAY AVE, MORENO VALLEY, CA 92555-5618
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215074
CA
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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