Individual
ALMA ROSA DEAQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9175 DATE ST APT D, FONTANA, CA 92335-5657
(909) 434-5000
Mailing address
9175 DATE ST APT D, FONTANA, CA 92335-5657
(909) 434-5000
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D2291819
CA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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