Individual
NELSON DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
24804 LAWTON AVE, LOMA LINDA, CA 92354-3429
(909) 556-5769
Mailing address
24804 LAWTON AVE, LOMA LINDA, CA 92354-3429
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
509522
CA
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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