Individual
DINA BADRELDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5795
(760) 241-8000
Mailing address
11786 ALANA WAY, VICTORVILLE, CA 92392-4418
(760) 488-7115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
95021060
CA
363LF0000X
Family Nurse Practitioner
Primary
95021060
CA
Other
Enumeration date
07/25/2022
Last updated
01/04/2023
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