Individual
PA C XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA
Contact information
Practice address
2780 E BIG RANGE RD, ONTARIO, CA 91761-9100
(909) 659-7831
Mailing address
2780 E BIG RANGE RD, ONTARIO, CA 91761-9100
(909) 659-7831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
535902
CA
Other
Enumeration date
02/24/2009
Last updated
12/03/2021
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