Individual
JULIA HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
16145 SIERRA LAKES PKWY, FONTANA, CA 92336-1243
(909) 356-9167
Mailing address
7619 ALDER AVE, FONTANA, CA 92336-2305
(626) 364-8727
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
697133
CA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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