Individual
MRS. ODELI MARGOT BURGUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 E REDLANDS BLVD STE 106, REDLANDS, CA 92373-4723
(909) 792-8866
Mailing address
101 E REDLANDS BLVD STE 106, REDLANDS, CA 92373-4723
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95022295
CA
Other
Enumeration date
05/04/2021
Last updated
09/07/2022
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