Individual
EVA HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
160 E HOLT #B, POMONA, CA 91767
(909) 620-2521
(909) 620-9793
Mailing address
221 E EL MORADO CT, ONTARIO, CA 91764-3213
(909) 467-3613
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
206211
CA
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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