Individual
GENESIS LUCERO FUERTE CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
403 W ADAMS BLVD, LOS ANGELES, CA 90007-2664
(213) 742-1162
Mailing address
2802 S HARVARD BLVD, LOS ANGELES, CA 90018-3526
(323) 590-1599
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95026087
CA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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