Individual
LINA NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 INDIANA AVE, RIVERSIDE, CA 92506-4290
(951) 530-8257
Mailing address
6700 INDIANA AVE, RIVERSIDE, CA 92506-4290
(951) 530-8257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9697
CA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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