Individual
RONA JULIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30002 N LAKE DR, LAKE ELSINORE, CA 92530-1227
(951) 219-6095
Mailing address
PO BOX 564, LAKE ELSINORE, CA 92531-0564
(951) 219-6095
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
336406400
CA
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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