Individual
DIONTANAE PATRICE LELIA CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1100 N D ST, SAN BERNARDINO, CA 92410-3524
(909) 884-0840
Mailing address
1100 N D ST, SAN BERNARDINO, CA 92410-3524
(909) 884-0840
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
280341
CA
Other
Enumeration date
12/03/2021
Last updated
05/17/2022
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