Individual
MRS. ANNETTE BELTRAN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11776 MARIPOSA RD STE 103104, HESPERIA, CA 92345-1622
(760) 956-2462
Mailing address
1042 W 25TH ST, SAN BERNARDINO, CA 92405-3112
(213) 318-1929
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN193384
CA
Other
Enumeration date
07/22/2021
Last updated
06/05/2023
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