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Individual

JOVELYN URDANETA GALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
12016 QUANTICO DR, RIVERSIDE, CA 92505-3735
(949) 306-6486
Mailing address
12016 QUANTICO DR, RIVERSIDE, CA 92505-3735
(949) 306-6486

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95030434
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95030434
CA

Other

Enumeration date
06/11/2024
Last updated
07/05/2024
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