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Individual

JANETTE DE LA SOTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 400, LA VERNE, CA 91750-0400
(909) 833-2986
Mailing address
233 W. BASELINE RD, BOX 400, LAVERNE, CA 91750

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
293535
CA

Other

Enumeration date
11/29/2017
Last updated
11/29/2017
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