Individual
MRS. LISA DIANNE DACUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN-ED. APRN, RN
Contact information
Practice address
9045 CANDLEWOOD ST, RANCHO CUCAMONGA, CA 91730-1259
(949) 680-6011
Mailing address
9045 CANDLEWOOD ST, RANCHO CUCAMONGA, CA 91730-1259
(949) 680-6011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
950286687
CA
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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