Individual
EGLADELY CALDERON VELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3390 COUNTRY VILLAGE RD APT 2307, RIVERSIDE, CA 92509-1086
(310) 927-0154
Mailing address
3390 COUNTRY VILLAGE RD APT 2307, RIVERSIDE, CA 92509-1086
(310) 927-0154
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
694283
CA
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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