Individual
LAURA CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25235 FISHER ST, SAN BERNARDINO, CA 92404-6322
(909) 688-1154
Mailing address
25235 FISHER ST, SAN BERNARDINO, CA 92404-6322
(909) 688-1154
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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