Individual
MRS. IRMA ALVARADO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
8112 MILLIKEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-7472
(909) 466-6410
Mailing address
714 N GREENWOOD AVE, ONTARIO, CA 91764-3510
(951) 201-0436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95014283
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95014283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205G1E2K
—
CA
Enumeration date
07/24/2019
Last updated
08/03/2020
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