Individual
ANDREA CHRISTINE UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316-2639
(909) 421-7120
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 254-2274
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LVN263227
CA
Other
Enumeration date
10/02/2012
Last updated
03/27/2024
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