Individual
JOHANNA VERDUZCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
17695 ARROW BLVD, FONTANA, CA 92335-4041
(909) 854-3790
Mailing address
12773 ARENA DR, RANCHO CUCAMONGA, CA 91739-2303
(909) 576-3458
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN697755
CA
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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