Individual
CHRISTINE ALCONABA MAPOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335
(951) 643-2340
Mailing address
24650 HEATH CT, MORENO VALLEY, CA 92551-4096
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
269125
CA
Other
Enumeration date
08/23/2017
Last updated
03/10/2019
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