Individual
MR. EFRAIN GUILLERMO LOERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
15802 N. PARKVIEW PLACE, DYSART UNIFIED SCHOOL DISTRICT, SUPRISE, AZ 85374
(623) 876-7063
(623) 523-8461
Mailing address
15802 N. PARK VIEW PLACE, DYSART UNIFIED SCHOOL DISTRICT, SUPRISE, AZ 85374
(623) 876-7063
(623) 523-8461
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP048604
AZ
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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