Individual
ALEXIS A MARANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
769 BLAINE ST, SUITE B, RIVERSIDE, CA 92507
(951) 358-4705
(951) 358-4719
Mailing address
769 BLAINE ST, SUITE B, RIVERSIDE, CA 92507-3379
(951) 358-4705
(951) 358-4719
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
227150
CA
Other
Enumeration date
11/08/2007
Last updated
12/09/2010
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