Individual
CRISTAL LOERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15163 TONIKAN CT, APPLE VALLEY, CA 92307-3707
(626) 391-8372
Mailing address
15163 TONIKAN CT, APPLE VALLEY, CA 92307-3707
(626) 391-8372
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
00014941
CA
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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