Individual
GLORIA VANESSA CUADRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 13TH ST STE D, MERCED, CA 95341-6211
(209) 386-1096
Mailing address
11237 MALLARD COVE DR, CHOWCHILLA, CA 93610-8013
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
286355
CA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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