Individual
CORRINA MICHELLE ALVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Mailing address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
700385
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700385
—
CA
Enumeration date
07/03/2019
Last updated
07/03/2019
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