Individual
EDNA VITUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14125 TELEPHONE AVE STE 14, CHINO, CA 91710-5771
(909) 465-9002
(909) 465-9032
Mailing address
14125 TELEPHONE AVE STE 14, CHINO, CA 91710-5771
(909) 465-9002
(909) 465-9032
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
550002541
CA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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