Individual
JOANNE ENRIQUEZ VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26001 REDLANDS BLVD, REDLANDS, CA 92373-7762
(909) 825-7084
(909) 894-7982
Mailing address
764 SUNCUP CIR, HEMET, CA 92543-8733
(909) 825-7084
(909) 894-7982
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95225973
CA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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