Individual
JENNELLE SUCHECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
8250 ENTREFINA WAY, RIVERSIDE, CA 92508-6149
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021332
CA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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